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PEDROSO PEDIATRICS PA NPI 1104068113


NPI Information

NPI: 1104068113
Provider Name: PEDROSO PEDIATRICS PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0970001

Address:
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL
ZIP 33020
Phone: (954) 923-9494
Get Directions

PEDROSO PEDIATRICS PA is a pediatrics in Hollywood, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDROSO PEDIATRICS PA NPI is 1104068113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2647 HOLLYWOOD BLVD
HOLLYWOOD, FL
ZIP 33020-840
Phone: (954) 923-9494
Fax: (877) 286-3853

The provider's authorized official is Manuel Pedroso .
The authorized official title is President and has the following contact phone number (954) 923-9494.

The CLIA number assigned to this NPI record is 10D0970001 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 3/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME73710FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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