Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 146820 | FL |
N | 2086S0120X | Pediatric Surgery | 286738 | NY |
NPI | 1578797486 |
---|---|
Provider Name | Dr. Felipe Eduardo Pedroso |
First Address | Miami, FL 33155-4070 |
Second Address | Miami, FL 33155-4070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2009 |
Last Update Date | 21/08/2020 |