Eduardo Fanilla
MD | Pediatrics | Male
Eduardo Fanilla, MD is a Miami, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Eduardo Fanilla is
6963 Sw 117th Ave, Miami, Florida - 33183-2803. He can be contacted on phone at
786-595-3225 and fax number 786-595-7812.
Eduardo Fanilla is a sole proprietor of his business.
NPI number (Unique professional ID) for Eduardo Fanilla is
1699710905 which was assigned by NPPES on 19 Jun, 2006 and it was last updated on 19 Jul, 2007.
Eduardo Fanilla license number is
ME82787 for Pediatrics (208000000X) in Florida.
Eduardo Fanilla is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Eduardo Fanilla basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Eduardo Fanilla |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Eduardo Fanilla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6963 Sw 117th Ave
Miami, FL, 33183-2803
United States |
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| Phone Number : | 786-595-3225 |
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| Fax Number : | 786-595-7812 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699710905 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2006 |
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| Last Updated On : | 19 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eduardo Fanilla are as mentioned. Primary taxonomy code for Eduardo Fanilla, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | ME82787 | FL |
| 208000000X | Pediatrics | Yes | ME82787 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Eduardo Fanilla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 262088000 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 12301 Sw 124th Ct
Miami, FL, 33186-5476
United States |
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| Phone Number : | 786-573-3152 |
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| Fax Number : | 786-573-3152 |
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Business Location:
Patients can refer following map for directions to
Eduardo Fanilla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.