MICHELE E PEDULLA


Address: 5411 Grand Blvd, Suite 102, New Port Richey, FL 34652-4010
Phone: 7278492535

MICHELE E PEDULLA (NPI# 1295057719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295057719
Entity Type Individual
Full Name MICHELE E PEDULLA
Credential ARNP
Practice Address 5411 Grand Blvd
Suite 102
New Port Richey
FL 34652-4010
Mailing Address 1802 Clearbrooke Dr
Clearwater
FL 33760-1429
Practice Telephone 7278492535
Practice Fax Number 7278497157
Mailing Telephone 7278492535
Mailing Fax Number 7278497157
Enumeration Date 2010-02-25
Last Update Date 2020-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
ARNP1658012 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 306096900 05

Office Location

Street Address 5411 GRAND BLVD
SUITE 102
City NEW PORT RICHEY
State FL
Zip Code 34652-4010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104810381 Arthur M Schlyer Jr. Family Medicine 5411 Grand Blvd, Suite 107, New Port Richey, FL 34652-4011 2005-09-02
1144693649 Dr Panicker and Associates LLC Pediatrics 5411 Grand Blvd, Suite 102, New Port Richey, FL 34652-4010 2015-11-05
1841490539 Ehab M Michael Md Pa Internal Medicine 5411 Grand Blvd, Suite 101, New Port Richey, FL 34652-4011 2007-07-20
1568557742 Gonzalez & Michael Medical Assoc., P.a. Internal Medicine 5411 Grand Blvd, Suite 101, New Port Richey, FL 34652-4011 2006-10-04
1538195714 Sonia Read Md Pa Internal Medicine 5411 Grand Blvd, Suite 106, New Port Richey, FL 34652-4011 2006-06-23
1194761080 Sonia Read Internal Medicine 5411 Grand Blvd, Suite 106, New Port Richey, FL 34652-4011 2006-06-21
1922074830 Aziz A Alkhafaji Surgery 5411 Grand Blvd, Suite 109, New Port Richey, FL 34652-4010 2006-02-28
1588654222 Ehab Michael Internal Medicine 5411 Grand Blvd, Suite 101, New Port Richey, FL 34652-4011 2005-10-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851999056 Kimberli Loumakos Behavior Technician 5234 State Rd. Fl-54, New Port Richey, FL 34652 2020-10-12
1679048805 Medical Risk Solutions Family Medicine 5117 Madison Street, New Port Richey, FL 34652 2018-10-03
1962904409 Blessings Treatment and Recovery Center LLC Substance Abuse Rehabilitation Facility 5319 Grand Blvd, New Port Richey, FL 34652 2018-03-01
1053797324 Manisha Briel Mattei Home Health Aide 5006 Trouble Creek Rd Ste 228, New Port Richey, FL 34652 2015-08-10
1225418155 Richard Nikla Lmhc Dba West Coast Behavioral Therapy Community/Behavioral Health 5462 Grand Blvd., Suite 104, New Port Richey, FL 34652 2015-06-05
1003294778 Madison Plummer Speech-Language Pathologist 6186 Seaside Drive, New Port Richey, FL 34652 2015-05-13
1194119255 A Family Dentist Pa Dentist 5153 Marine Pkwy, New Port Richey, FL 34652 2015-03-26
1861886186 Aap Group Inc Pharmacy 5812 Sr. 54, Newport Richey, FL 34652 2015-03-25
1225215064 Nader H Chadda Internal Medicine 5135 Us Hwy 19, Suite 175, New Port Richey, FL 34652 2008-01-23
1639351422 Sreenivas P Vangara Md Pa Internal Medicine 5515 Gulf Drive, Suite B, New Port Richey, FL 34652 2007-12-04
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134511744 Lynn Flynn Nurse Practitioner 4804 Rowan Rd, New Port Richey, FL 34653-5609 2015-02-19
1003217183 Pediatrics At River's Edge, Inc Nurse Practitioner 6352 River Rd, New Port Richey, FL 34652-2241 2014-09-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003417072 Carmen Moreno Nurse Practitioner 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 2020-11-05
1366043614 Christi Koshy Nurse Practitioner 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 2020-11-03
1730789322 Michelle Yen-vera Nurse Practitioner 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 2020-11-01
1376143487 Aimee N Jorgenson Stough Nurse Practitioner 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 2020-10-28
1588271233 Olivia Janelle De Jong Nurse Practitioner 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 2020-09-28
1801407796 Elisabeth Morley Chinlund Nurse Practitioner 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 2020-08-13
1972113025 Nicole Horn Nurse Practitioner 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 2020-08-04
1073131850 Olivia Dawn Wilson Nurse Practitioner 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 2020-07-08
1427687565 Cortney M Starr Nurse Practitioner 2261 Kingfisher Ln, Clearwater, FL 33762-3323 2020-04-01
1285263335 Summer Leigh Moran Nurse Practitioner 528 W Baldwin Rd # A, Panama City, FL 32405-3313 2020-04-01
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Competitor

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City NEW PORT RICHEY
Zip Code 34652

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Dataset Information

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.

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