Individual
HILDA M DE LA PEDRAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
1062 NW 134TH PL, MIAMI, FL 33182-2280
(305) 370-5236
Mailing address
1062 NW 134TH PL, MIAMI, FL 33182-2280
(305) 370-5236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9100780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 9100780
DEPARTMENT OF HEALTH
FL
Enumeration date
06/21/2006
Last updated
07/08/2007
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