Cano Cevallos, Edison Jose

Cano Cevallos, Edison Jose is an individual health care provider with primary practice located at 5647 Hollywood Blvd , Hollywood FL 33021-6325. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Cano Cevallos, Edison Jose can be contacted via phone (954) 276-1616.

Contact Information

Primary practice address
5647 Hollywood Blvd Hollywood FL 33021-6325
Phone: (954) 276-1616
Fax: (954) 276-0186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME151652 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 63792 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME151652 Florida

Profile Details

NPI number 1982080339
LBN Legal business name Cano Cevallos, Edison Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2015
Last updated Mar 9th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982080339 NPPES
Florida MEDICAID 111150900

Popular Providers