Pescod, Laura L

Pescod, Laura L is an individual health care provider with primary practice located at 545 Kirkwood Ter N , St Petersburg FL 33701-1613. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Pescod, Laura L can be contacted via phone (727) 644-4894.

Contact Information

Primary practice address
545 Kirkwood Ter N St Petersburg FL 33701-1613
Phone: (727) 644-4894
Fax: (727) 821-3395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT 16890 Florida

Profile Details

NPI number 1861478273
LBN Legal business name Pescod, Laura L
Credentials P.T., M.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861478273 NPPES
Florida MEDICAID 885755500
Florida MEDICAID 811502800

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