Provider Demographics
NPI:1457620833
Name:CABEZAS, EDUARDO ANTONIO (ARNP)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:ANTONIO
Last Name:CABEZAS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11930 SW 34TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3134
Mailing Address - Country:US
Mailing Address - Phone:305-608-6738
Mailing Address - Fax:786-232-4678
Practice Address - Street 1:11930 SW 34TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3134
Practice Address - Country:US
Practice Address - Phone:305-608-6738
Practice Address - Fax:786-232-4678
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9265302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily