Fanilla, Eduardo

Fanilla, Eduardo is an individual health care provider with primary practice located at 6963 Sw 117Th Ave , Miami FL 33183-2803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Fanilla, Eduardo can be contacted via phone (786) 595-3225.

Contact Information

Primary practice address
6963 Sw 117Th Ave Miami FL 33183-2803
Phone: (786) 595-3225
Fax: (786) 595-7812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME82787 Florida

Profile Details

NPI number 1699710905
LBN Legal business name Fanilla, Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 17th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699710905 NPPES
Florida MEDICAID 262088000

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