Provider Demographics
NPI:1942317995
Name:ALEJANDRO PEDROZO III, MDPA
Entity Type:Organization
Organization Name:ALEJANDRO PEDROZO III, MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDROZO
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:305-642-5500
Mailing Address - Street 1:351 NW 42ND AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5683
Mailing Address - Country:US
Mailing Address - Phone:305-642-5500
Mailing Address - Fax:305-642-5580
Practice Address - Street 1:351 NW 42ND AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5683
Practice Address - Country:US
Practice Address - Phone:305-642-5500
Practice Address - Fax:305-642-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81430207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME81430OtherMEDICAL LICENSE#
FLME81430OtherMEDICAL LICENSE#
FLE4872Medicare ID - Type UnspecifiedMEDICARE PROVIDER#
FLH28445Medicare UPIN