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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376548560 NPPES
Florida Other ME65256 MEDICAL LICENSE
Florida MEDICAID 376576800 MEDICAL LICENSE

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