MEDICARE: EDUARDO NAVARRO ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	ARNP9229025	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP 9229025	FL
3	363L00000X	Nurse Practitioner	ARNP9229025	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ARNP9229025	OTHER	FL	STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528390788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO NAVARRO ARNP

Provider Business Mailing Address
First Line	:	4385 W 16TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7628
Country	:	US
Telephone Number	:	305-824-0637
Fax Number	:	305-824-0628

Provider Business Practice Location Address
First Line	:	4385 W 16TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7628
Country	:	US
Telephone Number	:	305-824-0637
Fax Number	:	305-824-0628

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2010
Last Update Date	:	05/04/2018

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Directions to “ EDUARDO NAVARRO ARNP” Practice Location

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