Individual
EDUARDO BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1150 N 35TH AVE STE 440, HOLLYWOOD, FL 33021-5430
(954) 265-6356
(954) 985-5154
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101653
FL
363AS0400X
Surgical Physician Assistant
PA9101653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265875500
—
FL
Enumeration date
06/23/2006
Last updated
03/18/2021
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