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NPI Code Detail

MEDICARE: DR. ANGELA PEDRAZA M.D.

MEDICARE: DR. ANGELA PEDRAZA M.D.
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
1174400000XSpecialistME0052121FL

General Provider Information

NPI Number : 1710987573
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA PEDRAZA M.D.
Provider Business Mailing Address
First Line : 1645 PALM BEACH LAKES BLVD STE 1200
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2214
Country : US
Telephone Number : 561-687-2111
Fax Number : 561-687-1777
Provider Business Practice Location Address
First Line : 1645 PALM BEACH LAKES BLVD STE 1200
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2214
Country : US
Telephone Number : 561-687-2111
Fax Number : 561-687-1777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 08/02/2023

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