Individual
DR. MANUEL PEDROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2647 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4840
(954) 923-9494
(954) 923-2887
Mailing address
2647 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4840
(954) 923-9494
(877) 286-3853
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME73710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009092400
—
FL
Enumeration date
11/16/2006
Last updated
03/10/2021
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