Provider Demographics
NPI:1235394420
Name:AGUIN MELENDEZ, EDUARDO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:JOSE
Last Name:AGUIN MELENDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2410
Mailing Address - Country:US
Mailing Address - Phone:941-302-9977
Mailing Address - Fax:866-689-4412
Practice Address - Street 1:2828 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2410
Practice Address - Country:US
Practice Address - Phone:941-302-9977
Practice Address - Fax:866-689-4412
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME147685207V00000X
MI4301091720207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108902400Medicaid
FLME147685OtherFL MED LIC