Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME60562 | FL |
NPI | 1013914001 |
---|---|
Provider Name | Edward Renan Bermudez |
First Address | Sarasota, FL 34233-2943 |
Second Address | Sarasota, FL 34233-2943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 10/02/2022 |