EDUARDO R GONZALEZ-BLANCO (NPI# 1093874380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093874380 |
| Entity Type | Individual |
| Full Name | EDUARDO R GONZALEZ-BLANCO |
| Credential | M.D. |
| Practice Address |
1111 12th St Suite 108 Key West FL 33040-4088 |
| Practice Telephone | 3052945576 |
| Practice Fax Number | 3052948182 |
| Mailing Telephone | 3052945576 |
| Mailing Fax Number | 3052948182 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME45502 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | AG2990693 | 01 |
| FL | MEDICAL LICENSE | ME45502 | 01 |
| Street Address |
1111 12TH ST SUITE 108 |
| City | KEY WEST |
| State | FL |
| Zip Code | 33040-4088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013990456 | Steven Takas | Pediatrics | 1111 12th St, Ste 311, Key West, FL 33040-4088 | 2005-11-21 |
| 1306381215 | Key Bridge, Inc. | Community/Behavioral Health | 1111 12th St, Suite 212, Key West, FL 33040-4088 | 2016-12-31 |
| 1356706840 | New Hope Wellness Center, Inc | Case Management | 1111 12th St, 310 E, Key West, FL 33040-4088 | 2015-12-28 |
| 1235472622 | Pediatrics Alliance LLC | Pediatrics | 1111 12th St, Ste 311, Key West, FL 33040-4088 | 2013-04-03 |
| 1447591748 | Pediatrics Alliance, LLC. | Clinic/Center | 1111 12th St, Suite 311, Key West, FL 33040-4088 | 2013-03-12 |
| 1295071926 | Kathy Millis | Advanced Practice Midwife | 1111 12th St, Suite 104, Key West, FL 33040-4088 | 2012-12-28 |
| 1346595253 | Janice A. Moody, Md, Pa | Otolaryngology | 1111 12th St, Suite112, Key West, FL 33040-4088 | 2012-07-17 |
| 1538432182 | Florida Keys Medical Associates Pa | Internal Medicine | 1111 12th St, Suite 210, Key West, FL 33040-4088 | 2012-02-13 |
| 1295010551 | Katy Rose Robinette | Physician Assistant | 1111 12th St, Suite 210, Key West, FL 33040-4088 | 2011-10-19 |
| 1346548229 | Key West Hma Physician Management LLC | Orthopaedic Surgery | 1111 12th St, Suite 201, Key West, FL 33040-4088 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
| 1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
| 1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
| 1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
| 1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
| 1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
| 1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
| 1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
| 1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
| Find all providers in zip 33040 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480842 | Bruce Fariss | Urology | 3714 N Roosevelt Blvd, Suite 640, Key West, FL 33040-4533 | 2005-07-12 |
| 1285895763 | Lower Keys Urology Pllc | Urology | 3714 N Roosevelt Blvd, Key West, FL 33040-4533 | 2008-06-18 |
| 1922167808 | David W Kalies | Urology | 1111 12th St, Suite 108, Key West, FL 33040-4088 | 2006-12-07 |
| 1568521888 | Key West Urology Associates | Urology | 1111 12th St, Suite 108, Key West, FL 33040-4088 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
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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.