MEDICARE: ARIEL ALEJANDRO PARDO ROGRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	3210	PR

General Provider Information

NPI Number	:	1013843713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL ALEJANDRO PARDO ROGRIGUEZ

Provider Business Mailing Address
First Line	:	641 BAY LAKE TRL
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-4309
Country	:	US
Telephone Number	:	585-449-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	641 BAY LAKE TRL
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-4309
Country	:	US
Telephone Number	:	585-449-1330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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Directions to “ ARIEL ALEJANDRO PARDO ROGRIGUEZ ” Practice Location

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