GERARDO ANTONIO PEDROZA-SIERRA (NPI# 1124026117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124026117 |
| Entity Type | Individual |
| Full Name | GERARDO ANTONIO PEDROZA-SIERRA |
| Credential | M.D. |
| Practice Address |
1114 Sr 20 Suite 300 Interlachen FL 32148 |
| Practice Telephone | (386) 684-0195 |
| Mailing Telephone | (386) 684-0195 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2017-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 15516 | PR | Allopathic & Osteopathic Physicians |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ACN631 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | HUMANA INSURANCE | 9120272 | 01 |
| PR | HUMANA GOLD CHOICE | 9120272 | 01 |
| PR | HUMANA HEALTH PLAN | 9120272 | 01 |
| Street Address |
1114 SR 20 SUITE 300 |
| City | INTERLACHEN |
| State | FL |
| Zip Code | 32148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702978 | Able Behavioral Health Center | Registered Nurse | Orange Blossom Manor Mb4 P92, Blk 8, Interlachen, FL 32148 | 2020-05-22 |
| 1205307188 | Luis Miguel Nunez Arroyo | General Practice | 1114 Fl-20, Interlachen, FL 32148 | 2018-12-17 |
| 1023329067 | Metro Pharmaceutical Services Inc | Pharmacy | 126-1 South Cr 315, Interlachen, FL 32148 | 2010-06-24 |
| 1326118308 | Raymond S Rood IIi | Pharmacist | 1213 Hwy 20, Interlachen, FL 32148 | 2006-11-08 |
| 1609971431 | Holiday Cvs LLC | Pharmacy | 1141 Highway 20, Interlachen, FL 32148 | 2006-09-14 |
| 1487054680 | Tracy Lynn Steinmetz | Community Health Worker | 822 Selma Ave, Interlachen, FL 32148-2570 | 2014-08-26 |
| 1649245804 | Myriame Vastey | Family Medicine | 1213 State Road 20, Interlachen, FL 32148-2737 | 2006-02-21 |
| 1447790241 | Nicholas Bryan Sorensen | Pharmacist | 1213 State Road 20, Interlachen, FL 32148-2737 | 2017-02-28 |
| 1811387590 | Julie Elwood | Social Worker | 1213 State Road 20, Interlachen, FL 32148-2737 | 2015-02-02 |
| 1730498916 | Joseph Anthony Altamirando | Physician Assistant | 1213 State Road 20, Interlachen, FL 32148-2737 | 2010-10-05 |
| Find all providers in zip 32148 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | INTERLACHEN |
| Zip Code | 32148 |
Please comment or provide details below to improve the information on GERARDO ANTONIO PEDROZA-SIERRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.