LEDDATALIZ PEDROGO LPN
NPI 1396011748
Licensed Practical Nurse in Lake Wales, FL

Q: What is Leddataliz Pedrogo's NPI number?

The NPI number for Leddataliz Pedrogo is 1396011748. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Q: What is Leddataliz Pedrogo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since March 30, 2012

4762 BREEZER DR, LAKE WALES, FL 33859(407) 724-4853 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jan 25, 2021, Jul 5, 2017 (3 updates tracked since 2017).

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About Leddataliz Pedrogo Lpn NPPES

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

LEDDATALIZ PEDROGO LPN (NPI 1396011748) is an individual licensed practical nurse in Lake Wales, Florida, licensed in Florida (PN5198865) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1396011748

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameLEDDATALIZ PEDROGOCredential: LPN

Location Address4762 BREEZER DRLake Wales, FL 33859-5447

Mailing Address1615 Ellington DrDundee, FL 33838-4633 · (407) 724-4853

Phone(407) 724-4853

Sole ProprietorYes

Enumeration DateMarch 30, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1396011748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · PN5198865

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedHome HealthTaxonomy 251E00000X · License PN5198865 (FL)

Also ListedNursing CareTaxonomy 251J00000X · License PN5198865 (FL)

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X · License PN5198865 (FL)

Also ListedAdult CompanionTaxonomy 372600000X · License PN5198865 (FL)

Also ListedNurse's AideTaxonomy 376K00000X · License PN5198865 (FL)

Also ListedRespite CareTaxonomy 385H00000X · License PN5198865 (FL)

Also ListedRespite Care · Respite Care, Mental Illness, ChildTaxonomy 385HR2055X · License PN5198865 (FL)

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X · License PN5198865 (FL)

Also ListedRespite Care · Respite Care, Physical Disabilities, ChildTaxonomy 385HR2065X · License PN5198865 (FL)

4762 BREEZER DR, Lake Wales, FL 33859

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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 Leddataliz Pedrogo's NPI number?

The NPI number for Leddataliz Pedrogo is 1396011748. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Leddataliz Pedrogo located?

Leddataliz Pedrogo practices at 4762 Breezer Dr, Lake Wales, FL 33859. The listed phone number is (407) 724-4853.

What is Leddataliz Pedrogo's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Leddataliz Pedrogo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.