Provider Demographics
NPI:1437104148
Name:NAVAS-NAZARIO, EDWARD JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JAMES
Last Name:NAVAS-NAZARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1838 HEALTH CARE DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5362
Mailing Address - Country:US
Mailing Address - Phone:727-375-8528
Mailing Address - Fax:727-372-7040
Practice Address - Street 1:1838 HEALTH CARE DR BLDG 2
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655
Practice Address - Country:US
Practice Address - Phone:727-375-8528
Practice Address - Fax:727-372-7040
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN498208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL014068200Medicaid
IA598ZOtherMEDICARE PTAN