1588049449 NPI number — EDOUARD & ASSOCIATES

Table of content: (NPI 1588049449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588049449 NPI number — EDOUARD & ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDOUARD & ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CARING HEARTS OF CHARLOTTE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588049449
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4700 MILLENIA BLVD
Provider Second Line Business Mailing Address:
SUITE 175
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32839-6013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-368-7436
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
244 MADISON AVE
Provider Second Line Business Practice Location Address:
SUITE 4870
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-2817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-368-7436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2015

Additional Information

Authorized Official

Authorized Official Last Name:
LOUD
Authorized Official First Name:
SHENEKIA
Authorized Official Middle Name:
D
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
646-368-7436

Provider Taxonomy Codes

  • Taxonomy code: 320600000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com