MEDICARE: MARIELIS PEDROSO

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	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356940662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIELIS PEDROSO

Provider Business Mailing Address
First Line	:	4316 S GRADY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-1330
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4910 WHITE SANDERLING CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-0823
Country	:	US
Telephone Number	:	813-407-7275
Fax Number	:

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

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	10/19/2020

Similar Medicare Providers

1619582277 — TOBEY JAMISON BROWN RBT
Practice Location Address:

4910 WHITE SANDERLING CT
TAMPA, FL
33619-0823

Practice Phone: 813-407-7275
Practice Fax:

1770284465 — BREANNA CROWDER
Practice Location Address:

4953 WHITE SANDERLING CT
TAMPA, FL
33619-0823

Practice Phone: 863-701-6400
Practice Fax:

1699531715 — BRITTANY HAMILTON LCSW
Practice Location Address:

4949 WHITE SANDERLING CT
TAMPA, FL
33619-0823

Practice Phone: 813-210-3875
Practice Fax:

1942083472 — CONCORD HOME CARE, LLC
Practice Location Address:

1211 TECH BLVD STE 110
TAMPA, FL
33619-7846

Practice Phone: 813-490-5907
Practice Fax:

1194682658 — ROOTS OF RESILIENCE
Practice Location Address:

7935 24TH AVE S
TAMPA, FL
33619-5700

Practice Phone: 813-530-6965
Practice Fax:

1922758820 — TRIANA MONEZ BOGGS APRN, CNM
Practice Location Address:

410 S WARE BLVD STE 809
TAMPA, FL
33619-4456

Practice Phone: 813-365-9454
Practice Fax: 813-798-6422

Directions to “ MARIELIS PEDROSO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.