# EDUARDO J HIDALGO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982957841
- **Authorized official:** DR. EDUARDO JOSE HIDALGO MD (PRESIDENT)
- **Authorized official phone:** (954) 566-4006

## Contact information

- **Practice address:** 4006 N OCEAN BLVD, SECOND FLOOR, FT LAUDERDALE, FL 33308-6420
- **Practice address phone:** (954) 566-4006
- **Practice address fax:** (954) 566-1960
- **Mailing address:** 4006 N OCEAN BLVD, SECOND FLOOR, FT LAUDERDALE, FL 33308-6420
- **Mailing address phone:** (954) 566-4006
- **Mailing address fax:** (954) 566-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 10/17/2012
- **Last updated:** 10/17/2012