Pedrogo, Leddataliz
Pedrogo, Leddataliz is an sole proprietor health care provider with primary practice located at 4762 Breezer Dr , Lake Wales FL 33859-5447. She recently has 10 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child, Nursing Service Providers / Licensed Practical Nurse, Agencies / Home Health, Agencies / Nursing Care, Ambulatory Health Care Facilities / Developmental Disabilities, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Nurse's Aide. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Pedrogo, Leddataliz can be contacted via phone (407) 724-4853.Contact Information
Primary practice address
4762 Breezer Dr
Lake Wales FL 33859-5447
Phone: (407) 724-4853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care | 385H00000X | PN5198865 | Florida |
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | PN5198865 | Florida |
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | PN5198865 | Florida |
| Respite Care Facility / Respite Care, Physical Disabilities, Child | 385HR2065X | PN5198865 | Florida |
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN5198865 | Florida |
| Agencies / Home Health | 251E00000X | PN5198865 | Florida |
| Agencies / Nursing Care | 251J00000X | PN5198865 | Florida |
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | PN5198865 | Florida |
| Nursing Service Related Providers / Adult Companion | 372600000X | PN5198865 | Florida |
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | PN5198865 | Florida |
Profile Details
| NPI number | 1396011748 |
|---|---|
| LBN Legal business name | Pedrogo, Leddataliz |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2012 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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