Active NPI
Eduardo Carvajal Fernandez, APRN
- Family Nurse Practitioner
- Kissimmee, FL
National Provider Identifier
1427640812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11043146
- Practice address
- 3222 Hillsdale LN
Kissimmee, FL 34741-7562 - Phone
- (407) 279-1440
- NPI assigned
- Feb 7, 2021
- Last updated
- Oct 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11043146 | FL | Primary |
Addresses
Primary practice location
3222 Hillsdale LN
Kissimmee, FL 34741-7562
Mailing address
3222 Hillsdale LN
Kissimmee, FL 34741-7562
Phone (407) 279-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3222 Hillsdale LN
Kissimmee, FL 34741-7562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11043146 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Wellness Center LLC | Single Specialty | Current | Accepting new patients |
Locations
3222 Hillsdale Ln
Kissimmee, FL 34741
Phone (407) 279-1440
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JHJGCD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1427640812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 HILLSDALE LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417562",
"telephone_number": "407-279-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3222 HILLSDALE LN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417562",
"telephone_number": "407-279-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVAJAL FERNANDEZ",
"first_name": "EDUARDO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-07",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11043146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.