Most Relevant Information
Provider Data
NPI Number: | 1003392481 |
Provider Name: | JOHANNA PEDRAZA ARNP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 9311872 |
Most Important Dates
Enumeration Date: | 07/18/2018 |
Last Updated: | 07/18/2018 |
Provider Practice Location
210 N ALEXANDER ST STE B
PLANT CITY
FL
335634302
Practice Location Phone/Fax
Phone: | 8137193525 |
Fax: | 8137193175 |
Provider Mailing Location
210 N ALEXANDER ST STE B
PLANT CITY
FL
335634302
Provider Mailing Phone/Fax
Phone: | 8137193525 |
Fax: | 8137193175 |