Sergio Enrique Pedraza, | |
801 W Bay Dr Ste 605, Largo, FL 33770-3268 | |
(727) 489-3305 | |
Not Available |
Full Name | Sergio Enrique Pedraza |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 801 W Bay Dr Ste 605, Largo, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366185241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2021096609 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fusion Healthcare | Clearwater, FL | Home health agency |
Aspire Home Care | Clearwater, FL | Home health agency |
Morton Plant Hospital | Clearwater, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Health Medical Group, Llc | 5193962173 | 13 |
Entity Name | Legacy Health Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881942779 PECOS PAC ID: 5193962173 Enrollment ID: O20130510000372 |
Mailing Address | Practice Location Address |
---|---|
Sergio Enrique Pedraza, 14214 Pondhawk Ln, Tampa, FL 33625-3207 Ph: (813) 863-6737 | Sergio Enrique Pedraza, 801 W Bay Dr Ste 605, Largo, FL 33770-3268 Ph: (727) 489-3305 |
Cassandra Hoffman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Argelia Sample, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-518-6444 | |
Gissy L Suarez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7050 Ulmerton Rd, Largo, FL 33771 Phone: 727-777-4540 Fax: 727-248-0432 | |
Deborah Janavs, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5222 Fax: 727-588-5458 | |
Sandra Vigo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 14th St Sw, Largo, FL 33770 Phone: 727-588-5200 | |
Radica Singh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13670 Walsingham Rd, Largo, FL 33774 Phone: 727-593-9848 Fax: 727-596-4532 | |
Ms. Maxine Pittaway Bosko, MSN, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6560 Ulmerton Rd, Largo, FL 33771 Phone: 813-915-5459 Fax: 727-303-3360 |