Pedroso, Manuel
Pedroso, Manuel is an sole proprietor health care provider with primary practice located at 2647 Hollywood Blvd , Hollywood FL 33020-4840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Pedroso, Manuel can be contacted via phone (954) 923-9494.Contact Information
Primary practice address
2647 Hollywood Blvd
Hollywood FL 33020-4840
Phone: (954) 923-9494
Fax: (954) 923-2887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ME73710 | Florida |
Profile Details
| NPI number | 1851464077 |
|---|---|
| LBN Legal business name | Pedroso, Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Mar 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851464077 | NPPES |
| Florida | MEDICAID | 009092400 |
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