Provider Demographics
NPI:1194277921
Name:PAREDES, EDUARDO JOSE
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:JOSE
Last Name:PAREDES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E BAKER ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-3700
Mailing Address - Country:US
Mailing Address - Phone:813-606-4600
Mailing Address - Fax:813-606-4600
Practice Address - Street 1:1001 E BAKER ST
Practice Address - Street 2:SUITE 403
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-3700
Practice Address - Country:US
Practice Address - Phone:813-606-4600
Practice Address - Fax:813-606-4600
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care