Individual
FERNANDO EDILBERTO PEDRAZA TABORDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1201 NW 16TH ST RM D1010, MIAMI, FL 33125-1624
(305) 575-7000
(305) 575-3147
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
ME113158
FL
208M00000X
Hospitalist Physician
Primary
ME113158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME113158
FLORIDA LICENSE
FL
Enumeration date
10/15/2008
Last updated
06/14/2024
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