Edgardo Feliciano, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME138722 Issued in FL

Practice address

6239 Lake Worth Rd
Greenacres, FL 33463-3003

Phone

(561) 812-1271

Fax

(561) 964-4050

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Home Alliance LLC

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)
• Suramed Health Center, PA

  • Pediatrics Physician
  • West Palm Beach, FL
  • NPI 1083910632
  NPD (past)
• Suramed Health Center, PA

  • Pediatrics Physician
  • Greenacres, FL
  • NPI 1386136570
  NPD (past)
• Suramed Health Center, PA

  • Pediatrics Physician
  • Wellington, FL
  • NPI 1942781505
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1528021557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633003",
            "telephone_number": "561-812-1271",
            "fax_number": "561-964-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 S State Road 7 Ste 109",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498099",
            "country_code": "US",
            "telephone_number": "561-593-3525",
            "fax_number": "561-798-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "EDGARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "PR",
            "license": "11370",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME138722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faryal Izhar Farooqi, M.D.
• Marieline Faustin
• FCM Supply LLC
• Feel Alive Hydration & Wellness LLC
• Lisa Gema Feldman, OTRL
• Brian Ferber, DMD
• Dunia Fernandez Carmona
• Omar Fernandez de Soignie, RBT
• Lis Adriana Fernandez Falcon
• Yeney Fernandez Portell

• Pediatrics Physician in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.