PEDROSO PEDIATRICS PA
NPI 1104068113
Pediatrics in Hollywood, FL

Active since April 06, 2009CLIA 10D0970001 · Certificate of Compliance
2647 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020(954) 923-9494(877) 286-3853 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pedroso Pediatrics Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDROSO PEDIATRICS PA (NPI 1104068113) is a healthcare organization registered as a pediatrics in Hollywood, Florida and active in the NPI registry since April 2009. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Manuel Pedroso, President, as its authorized official.

NPPES Registry Identity

NPI1104068113
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDROSO PEDIATRICS PA
Location Address2647 HOLLYWOOD BLVDHollywood, FL 33020-4840
Mailing Address2647 Hollywood BlvdHollywood, FL 33020-4840 · (954) 923-9494 · Fax (954) 923-2887
Fax(877) 286-3853
Organization SubpartNo
Authorized OfficialManuel PedrosoPresident · (954) 923-9494
Enumeration DateApril 6, 2009
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1104068113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in FL · ME73710
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2647 HOLLYWOOD BLVD, Hollywood, FL 33020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0970001

Pedroso Pediatrics PA · Hollywood, FL
Active · expires Mar 26, 2027
CLIA Number10D0970001
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Manuel Pedroso
Laboratory Phone(954) 923-9494
Laboratory LocationPedroso Pediatrics PA2647 Hollywood Blvd, Hollywood, FL 33020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020
Assistant Behavior Analyst
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020
Dentist (General Practice)
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020
Nurse Practitioner (Primary Care)
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020
Behavior Technician
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020
Behavior Technician
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020
Dentist (General Practice)
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020
Dentist
2647 HOLLYWOOD BLVD
HOLLYWOOD, FL 33020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedroso Pediatrics PA's NPI number?

The NPI number for Pedroso Pediatrics PA is 1104068113. It was assigned to this organization in the NPPES registry on April 6, 2009.

Where is Pedroso Pediatrics PA located?

Pedroso Pediatrics PA is located at 2647 Hollywood Blvd, Hollywood, FL 33020. The listed phone number is (954) 923-9494.

What is Pedroso Pediatrics PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pedroso Pediatrics PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0970001) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pedroso Pediatrics PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Molina Healthcare and Wellpoint list Pedroso Pediatrics PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pedroso Pediatrics PA was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.