Healthcare Provider Details

I. General information

NPI: 1538968946
Provider Name (Legal Business Name): CLAUDIA MARIE PEDRO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 10TH ST E
PALMETTO FL
34221-4131
US

IV. Provider business mailing address

3301 32ND AVE S UNIT 123
ST PETERSBURG FL
33712-3712
US

V. Phone/Fax

Practice location:
  • Phone: 941-212-4410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15326
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: