Individual
MICHELE E PEDULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5411 GRAND BLVD, SUITE 102, NEW PORT RICHEY, FL 34652-4010
(727) 849-2535
(727) 849-7157
Mailing address
1802 CLEARBROOKE DR, CLEARWATER, FL 33760-1429
(727) 849-2535
(727) 849-7157
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP1658012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306096900
—
FL
Enumeration date
02/25/2010
Last updated
03/13/2020
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