Edward Carvallo MD PA Plastic & Hand Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

879 Issued in FL

Legal business name

EDWARD CARVALLO MD PA PLASTIC & HAND SURGERY

Doing business as

Suncoast Outpatient Surgery Center

Practice address

106 Homeport Dr
Palm Harbor, FL 34683-5409

Phone

(727) 919-2395

NPI assigned

May 9, 2007

Last updated

Jan 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward Carvallo, MD

Title

Medical Director

Phone

(727) 919-2395

Specialties & licenses 1

Addresses

Other names 1

• Suncoast Outpatient Surgery Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank Caicedo, M.D.

  • Specialist
  • Summerfield, FL
  • NPI 1992794275
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1285848572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HOMEPORT DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835409",
            "telephone_number": "727-919-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOMEPORT DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835409",
            "telephone_number": "727-919-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD CARVALLO MD PA PLASTIC & HAND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "CARVALLO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-919-2395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastlake Medical Center PA
• Jennifer Kristin Eaton, LCSW
• Christine M Echeverri
• Scott Eckardt, P.T.
• Susan Edson, MA COUNSELING
• Edward G Mackay MD PA
• Edward G Mackay, MD and Associates, LLC
• Amanda Effertz
• Sharlene J Eichenberger
• Ekallevig Transport

• Ambulatory Surgical Clinic/Center in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.