PEDERSEN MEDICINE PLLC NPI 1316818735

NPI Information

  • NPI: 1316818735
  • Provider Name: PEDERSEN MEDICINE PLLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2326132
  • Address: 1022 MAIN ST STE A
    DUNEDIN, FL
    ZIP 34698
  • Phone: (727) 736-6500

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NPI Details

PEDERSEN MEDICINE PLLC is an adult medicine family medicine in Dunedin, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PEDERSEN MEDICINE PLLC NPI is 1316818735. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1022 MAIN ST STE A
DUNEDIN, FL
ZIP 34698-237
Phone: (727) 736-6500
Fax: (727) 736-6502

The provider's authorized official is Daniel Pedersen .
The authorized official title is Owner and has the following contact phone number (352) 617-5509.

The CLIA number assigned to this NPI record is 10D2326132 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2025 and was last updated on 9/17/2025.

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
1207QA0505XFamily MedicineAdult MedicineYes

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: 11/21/2025

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