Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME73478 | FL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME0073478 | FL |
NPI | 1063494227 |
---|---|
Provider Name | Veronica Pedro-Alexander |
First Address | Wellington, FL 33414-6156 |
Second Address | Royal Palm Beach, FL 33411-3504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2005 |
Last Update Date | 01/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25138500 | (05) | FL |
G64392 | (02) | FL |