EDUARDO FERNANDEZ (NPI# 1558367722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558367722 |
| Entity Type | Individual |
| Full Name | EDUARDO FERNANDEZ |
| Credential | MD |
| Practice Address |
350 Nw 84th Ave Suite 102 Plantation FL 33324-1817 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 9543707555 |
| Practice Fax Number | 9543707554 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME0073378 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DIMENSION PROVIDER NUMBER | 9137 | 01 |
| FL | AVMED PROVIDER NUMBER | 251555 | 01 |
| FL | FIRST HEALTH PROVIDER # | 1228843 | 01 |
| FL | WELLCARE PROVIDER NUMBER | 170049 | 01 |
| FL | FLORIDA HEALTHCARE PLUS | P0003151 | 01 |
| FL | 252758800 | 05 | |
| FL | MOLINA MCD | QMP000003667229 | 01 |
| FL | AMERIGROUP PROVIDER # | 222166 | 01 |
| FL | BCBS PROVIDER NUMBER | 41696 | 01 |
| FL | TOTAL HLTH CH PROVIDER # | 8790 | 01 |
| FL | GHI PROVIDER NUMBER | 4197468 | 01 |
| FL | MOLINA MCR | FLPV00003667229 | 01 |
| FL | AETNA PROVIDER NUMBER | 5070616 | 01 |
| FL | WELLCARE | 224268 | 01 |
| FL | AVMED PROVIDER NUMBER | 259097 | 01 |
| FL | USA MNGD. CR. PROVIDER # | 843672 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235419805 | Eduardo Fernandez | Massage Therapist | 11066 Sw 247th Ter, Homestead, FL 33032-4693 | 2011-08-26 |
| 1437209228 | Eduardo B. Fernandez | Urology | 1710 E Saunders St Ste 660, Laredo, TX 78041-5456 | 2007-01-12 |
| 1528031523 | Eduardo Inamac Fernandez | Specialist | 269 Madden Rd, Montoursville, PA 17754-9365 | 2006-02-09 |
| 1376514083 | Eduardo Fernandez | Specialist | Doctors Hospital San Rafael Street, Santurce, PR 00919 | 2006-01-30 |
| 1417445404 | Eduardo Fernandez | Occupational Therapy Assistant | 8415 Sw 24th St Ste 205, Miami, FL 33155-2305 | 2018-04-25 |
| 1336348218 | Eduardo W Fernandez | Family Medicine | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2007-07-12 |
| 1639107568 | Eduardo Fernandez | Acupuncturist | 1800 E 19th St, The Dalles, OR 97058-3389 | 2006-06-29 |
| 1336176130 | Eduardo Fernandez | Internal Medicine | 24530 Falcon Place Blvd, Suite 101, Abingdon, VA 24211-7665 | 2006-06-27 |
| 1174589493 | Eduardo Enrique Fernandez | Internal Medicine | 101 Burrs Rd, Suite C, Westampton, NJ 08060-5507 | 2006-04-25 |
| Street Address |
350 NW 84TH AVE SUITE 102 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063964534 | Royal Palm Beach Rehab, Corp. | Neuromusculoskeletal Medicine, Sports Medicine | 350 Nw 84th Ave, Suite 200, Plantation, FL 33324-1817 | 2016-10-31 |
| 1922478213 | Physical Therapy Institute and Aquatic Rehab, Inc | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-30 |
| 1104296748 | Courtney L Alhomsi | Nurse Practitioner | 350 Nw 84th Ave, Suite 300, Plantation, FL 33324-1817 | 2015-09-25 |
| 1285003632 | Royal Palm Beach Rehab, Corp | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-16 |
| 1750750105 | Action Physical Therapy, LLC | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-16 |
| 1942685367 | Agnieszka Barbara Slowik | Nurse Practitioner | 350 Nw 84th Ave, Plantation, FL 33324-1817 | 2015-07-27 |
| 1700264744 | Associates In Family Practice of Broward LLC | Family Medicine | 350 Nw 84th Ave, Suite 200b, Plantation, FL 33324 | 2015-05-11 |
| 1255613667 | Alan M. Lazar, M.d., P.a. | Non-Pharmacy Dispensing Site | 350 Nw 84th Ave, Suite 206, Plantation, FL 33324-1817 | 2011-09-12 |
| 1003114430 | John W N Foster Md Pa | Family Medicine | 350 Nw 84th Ave, Suite 108, Plantation, FL 33324-1817 | 2011-03-09 |
| 1669783056 | Morris V. Epstein Md Pa | Family Medicine | 350 Nw 84th Ave, Suite 108, Plantation, FL 33324-1817 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1184605867 | Marshal E. Lieberfarb | Radiology | 350 Nw 84th Ave, Suite 102, Plantation, FL 33324-1817 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| 1881011781 | Michelle I Echevarria-colon | Radiology | 16308 E Course Dr, Tampa, FL 33624-1128 | 2014-03-28 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.