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Contact Information

EDUARDO M MARISTANY, MD
1350 HICKORY ST
MELBOURNE, FL32901
 Phone: 321-434-1771
 Fax: 321-434-1775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDUARDO M MARISTANY · (Male)

NPI Number 1245464130
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2009
Last updated 10/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME118407
  • GA License # 068451
  • FL Medicaid 020539000
  • GA Medicaid 003126901A
  • SC Medicaid GA1378
  • Other 01685254 AMERIGROUP
  • Other 700336 WELLCARE
  • GA Other P01089553 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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