Fidalgo, Edward M
Fidalgo, Edward M is an individual health care provider with primary practice located at 3659 S Miami Ave Ste 5005, Miami FL 33133-4221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fidalgo, Edward M can be contacted via phone (305) 854-2899.Contact Information
Primary practice address
3659 S Miami Ave Ste 5005
Miami FL 33133-4221
Phone: (305) 854-2899
Fax: (305) 859-9677
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME65256 | Florida |
Profile Details
NPI number | 1376548560 |
---|---|
LBN Legal business name | Fidalgo, Edward M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2005 |
Last updated | Mar 7th, 2023 - about 2 years 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376548560 | NPPES |
Florida | Other | ME65256 | MEDICAL LICENSE |
Florida | MEDICAID | 376576800 | MEDICAL LICENSE |
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