Healthcare Provider Details

I. General information

NPI: 1336544105
Provider Name (Legal Business Name): EDUARDO DEDOS MSN, ARNP, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2014
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1759 N UNIVERSITY DR
HOLLYWOOD FL
33024-3601
US

IV. Provider business mailing address

1000 NW 57TH CT STE 400
MIAMI FL
33126-3292
US

V. Phone/Fax

Practice location:
  • Phone: 954-842-2175
  • Fax:
Mailing address:
  • Phone: 305-649-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9358060
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: