MEDICARE: DISLEY PEDRAZA

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1447826557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DISLEY PEDRAZA

Provider Business Mailing Address
First Line	:	100 HAMMOCKS TRL APT 2208
Second Line	:
City	:	KEY LARGO
State	:	FL
Zip	:	33037-4863
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HAMMOCKS TRL APT 2208
Second Line	:
City	:	KEY LARGO
State	:	FL
Zip	:	33037-4863
Country	:	US
Telephone Number	:	305-748-7238
Fax Number	:

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

Provider Enumeration Date	:	05/29/2021
Last Update Date	:	05/29/2021

Similar Medicare Providers

1316801392 — ALL IN ONE COMMUNITY SERVICES INC
Practice Location Address:

103400 OVERSEAS HWY STE 251
KEY LARGO, FL
33037-2831

Practice Phone: 305-517-6841
Practice Fax:

1316943046 — MRS. JANE J HLIS P.T.
Practice Location Address:

100210 OVERSEAS HWY , SUITE 2
KEY LARGO, FL
33037-2526

Practice Phone: 305-453-1088
Practice Fax:

1639178791 — KEY LARGO VOLUNTEER AMBULANCE CORP INC
Practice Location Address:

98600 OVERSEAS HWY
KEY LARGO, FL
33037

Practice Phone: 305-451-2766
Practice Fax: 305-451-1562

1003808551 — PAUL STRIBLING ELLISON JR. MD
Practice Location Address:

100210 OVERSEAS HWY , STE 3
KEY LARGO, FL
33037-2526

Practice Phone: 305-453-3633
Practice Fax: 305-453-3637

1902882277 — DR. VICTORIA ROMMEL M.D.
Practice Location Address:

105662 OVERSEAS HWY
KEY LARGO, FL
33037-3010

Practice Phone: 305-575-7000
Practice Fax:

1942270491 — MURPHY'S UPPER KEYS, INC.
Practice Location Address:

130 OCEAN BAY DR
KEY LARGO, FL
33037-2445

Practice Phone: 305-451-5141
Practice Fax: 305-453-4092

Directions to “ DISLEY PEDRAZA ” 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.