LEDDATALIZ PEDROGO (LPN) – Licensed Practical Nurse, NPI 1396011748

LEDDATALIZ PEDROGO (LPN) is a healthcare provider. based in Lake wales, Florida. specializing in Licensed Practical Nurse. They hold the professional credentials LPN. They hold a License No. PN5198865 (FL). The NPI Number for LEDDATALIZ PEDROGO (LPN) is 1396011748

Main info

Female
Sole Proprietor
Name
LEDDATALIZ PEDROGO (LPN)
NPI
1396011748
Phone
(407) 724-4853
Address
4762 BREEZER DRIVE
Enumeration Date
30 March 2012
Last Update Date
21 July 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for LEDDATALIZ PEDROGO (LPN)

  • 4762 BREEZER DRIVE

    LAKE WALES, FL 33859

    Phone: (407) 724-4853

    Type: Mailing

  • 4762 BREEZER DR

    LAKE WALES, FL 338595447

    Phone: (407) 724-4853

    Type: Location

  • 1615 ELLINGTON DR

    DUNDEE, FL 338384633

    Phone: (407) 724-4853

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33859)

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Reviews

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Frequently asked questions

What federal number belongs to LEDDATALIZ PEDROGO (LPN)?
The federal identifier for LEDDATALIZ PEDROGO (LPN) is NPI 1396011748.
Does this profile mean LEDDATALIZ PEDROGO (LPN) is currently active?
Yes — LEDDATALIZ PEDROGO (LPN) appears active in the national provider directory.
What kind of provider is LEDDATALIZ PEDROGO (LPN)?
The page reflects Licensed Practical Nurse for LEDDATALIZ PEDROGO (LPN). Clinical services aligned with this taxonomy classification.
Where is LEDDATALIZ PEDROGO (LPN)'s primary listing?
We display Lake Wales, Florida because that is what the record indicates for LEDDATALIZ PEDROGO (LPN).
How can I contact LEDDATALIZ PEDROGO (LPN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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