Doctor Name: | GERARDO ANTONIO PEDROZA-SIERRA |
NPI Number: | 1124026117 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15516 |
Business Practice Address: | 8751 Ulmerton Rd Largo, FL - 337713832 |
Business Phone Number: | 7275244410 |
Business Fax Number: | |
Mailing Address: | 205 Dr Martin Luther King Jr St N, ST PETERSBURG |
State: | FL |
Postal Code: | 337013109 |
Phone Number: | 7278246900 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15516 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |