Pedulla, Michele E

Pedulla, Michele E is an individual health care provider with primary practice located at 5411 Grand Blvd Suite 102, New Port Richey FL 34652-4010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pedulla, Michele E can be contacted via phone (727) 849-2535.

Contact Information

Primary practice address
5411 Grand Blvd Suite 102 New Port Richey FL 34652-4010
Phone: (727) 849-2535
Fax: (727) 849-7157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP1658012 Florida

Profile Details

NPI number 1295057719
LBN Legal business name Pedulla, Michele E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2010
Last updated Mar 13th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295057719 NPPES
Florida MEDICAID 306096900

Popular Providers