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Contact Information

FERNANDO E PEDRAZA TABORDA, MD
1611 NW 12TH AVE
MIAMI, FL33136-1005
 Phone: 305-585-1111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FERNANDO E PEDRAZA TABORDA · (Male)

NPI # 1740432269
Status Active
Credentials MD
Entity Individual
Enumeration date 10/15/2008
Last updated 06/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME113158
  • FL Other ME113158 FLORIDA LICENSE
Hospital affiliation(s)
  • JACKSON MEMORIAL HOSPITAL - (Acute Care)
    1611 NW 12TH AVE
    MIAMI, FL 33136
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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