| Eduardo J Hidalgo Md Pa | |
|
4006 N Ocean Blvd Second Floor Ft Lauderdale FL 33308-6420 | |
| (954) 566-4006 | |
| (954) 566-1960 |
| Full Name | Eduardo J Hidalgo Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4006 N Ocean Blvd, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Eduardo Jose Hidalgo (PRESIDENT) |
| Authorized Official Contact | 9545664006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo J Hidalgo Md Pa 4006 N Ocean Blvd Second Floor Ft Lauderdale FL 33308-6420 Ph: (954) 566-4006 | Eduardo J Hidalgo Md Pa 4006 N Ocean Blvd Second Floor Ft Lauderdale FL 33308-6420 Ph: (954) 566-4006 |
| NPI Number | 1982957841 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/17/2012 |
| Medicare PECOS PAC ID | 0446400550 |
|---|---|
| Medicare Enrollment ID | O20121026000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982957841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RH0000X | Internal Medicine - Hematology | (* (Not Available)) | Secondary |
| Provider Name | Eduardo Jose Hidalgo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134154834 PECOS PAC ID: 7416970116 Enrollment ID: I20060109000797 |
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