Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maurice Pedraza

Individual provider Nurse Practitioner · NPI 1023729159

Maurice Pedraza is a Nurse Practitioner in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with Observation Medical Group LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

3001 W Mlk Blvd
Tampa, FL 33607-6307
Phone: (786) 374-7239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11023413 (FL)

Record details

NPI number1023729159
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2022
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address2318 Timbergrove Dr, Valrico, FL 33596-7215

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Observation Medical Group Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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