Individual
EDMUND A BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HEALTHCARE WAY, SUITE 202, NORTH VENICE, FL 34275-3669
(941) 261-0160
(941) 261-0165
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME98576
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME98576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09083
BLUE CROSS BLUE SHIELD
FL
05
—
279605800
—
FL
01
—
7173488
AETNA
FL
01
—
9430897
CIGNA
FL
01
—
P00417656
RAILROAD MEDICARE
FL
Enumeration date
04/06/2007
Last updated
11/08/2021
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