Otto Pedraza is a Clinical in Jacksonville, Florida. Otto Pedraza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Otto Pedraza is 1386758258. The last update date is 2023-01-17.
Otto Pedraza's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Otto Pedraza is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otto Pedraza |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1386758258 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2023-01-17 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY7368 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Otto Pedraza by the Centers for Medicare & Medicaid Services?
The Otto Pedraza has been issued the NPI (National Provider Identifier) 1386758258, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Otto Pedraza is physically located?
The Otto Pedraza is situated at the following address: 4500 San Pablo Rd S, Jacksonville, FL 322241865.
What is the Otto Pedraza's area of specialization and corresponding taxonomy classification?
The Otto Pedraza's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Otto Pedraza receive its 1386758258 assignment from the Centers for Medicare & Medicaid Services?
The Otto Pedraza was assigned its 1386758258 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date was the information pertaining to Otto Pedraza, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Otto Pedraza, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-01-17.