Healthcare Provider Details

I. General information

NPI: 1578797486
Provider Name (Legal Business Name): FELIPE EDUARDO PEDROSO MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2009
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 SW 60TH CT STE 201
MIAMI FL
33155-4070
US

IV. Provider business mailing address

3200 SW 60TH CT STE 201
MIAMI FL
33155-4070
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-8320
  • Fax:
Mailing address:
  • Phone: 305-662-8320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number286738
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberME-146820
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: