EDMUND A BERMUDEZ (NPI# 1073636197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073636197 |
Entity Type | Individual |
Full Name | EDMUND A BERMUDEZ |
Credential | M.D. |
Practice Address |
600 Nokomis Ave S Ste 102&203 Venice FL 34285 |
Mailing Address |
600 Nokomis Ave S Ste 102&203 Venice FL 34285-3209 |
Practice Telephone | 9414866979 |
Practice Fax Number | 9414866964 |
Mailing Telephone | 9414866979 |
Mailing Fax Number | 9414866964 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2019-09-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME98576 | FL | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME98576 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | CIGNA | 9430897 | 01 |
FL | BLUE CROSS BLUE SHIELD | 09083 | 01 |
FL | 279605800 | 05 | |
FL | AETNA | 7173488 | 01 |
FL | RAILROAD MEDICARE | P00417656 | 01 |
Street Address |
600 NOKOMIS AVE S STE 102&203 |
City | VENICE |
State | FL |
Zip Code | 34285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497765895 | Joseph A Balzano | Internal Medicine | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285 | 2006-08-08 |
1437765179 | Nicole Marie Clark | Nurse Practitioner | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285-3209 | 2020-09-18 |
1740849462 | Angela Rae Edmondson | Nurse Practitioner | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285-3209 | 2019-06-06 |
1336674043 | Rita M Malpedo | Nurse Practitioner | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285 | 2017-05-01 |
1184092546 | Crystal Pawula | Nurse Practitioner | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285 | 2015-09-02 |
1497932735 | Kevin Carl O'connor | Physician Assistant | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285 | 2008-01-29 |
1114021144 | Steven Bradshaw Shoemaker | Internal Medicine | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285-3209 | 2006-09-11 |
1043220932 | James P Landis | Internal Medicine | 600 Nokomis Ave S Ste 102&203, Venice, FL 34285 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
Find all providers in zip 34285 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790948636 | Florida Cardiac Consultants, Inc | Internal Medicine | 600 Nokomis Ave S, Suite 101, Venice, FL 34285-3209 | 2008-07-09 |
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1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.