MEDICARE: ARTHUR J. PEDREGAL MD PA

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	2084N0600X	Clinical Neurophysiology Physician

General Provider Information

NPI Number	:	1154671022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHUR J. PEDREGAL MD PA

Provider Business Mailing Address
First Line	:	4710 N HABANA AVE STE 303
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7151
Country	:	US
Telephone Number	:	813-879-7940
Fax Number	:	813-878-0670

Provider Business Practice Location Address
First Line	:	4710 N HABANA AVE STE 303
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-7151
Country	:	US
Telephone Number	:	813-879-7940
Fax Number	:	813-878-0670

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARTHUR JOHN PEDREGA;
Credential	:	MD
Telephone Number	:	813-879-7940

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	09/18/2012

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