MEDICARE: DR. FELIPE EDUARDO PEDROSO MD, MPH

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	2086S0120X	Pediatric Surgery Physician	286738	NY
2	2086S0120X	Pediatric Surgery Physician	ME-146820	FL

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	:	1578797486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIPE EDUARDO PEDROSO MD, MPH

Provider Business Mailing Address
First Line	:	3200 SW 60TH CT
Second Line	:	STE 201
City	:	MIAMI
State	:	FL
Zip	:	33155-4070
Country	:	US
Telephone Number	:	305-662-8320
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 SW 60TH CT STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4070
Country	:	US
Telephone Number	:	305-662-8320
Fax Number	:

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

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	11/06/2024

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