Active NPI
Eduardo Infante, M.D.
- Forensic Psychiatry Physician
- Gainesville, FL
National Provider Identifier
1851470819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- ME56733
- Practice address
- 1200 NE 55TH Blvd
Gainesville, FL 32641-2783 - Phone
- (352) 375-8484
- NPI assigned
- Nov 2, 2006
- 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 |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | ME56733 | FL | Primary |
Addresses
Primary practice location
1200 NE 55TH Blvd
Gainesville, FL 32641-2783
Mailing address
12724 NW 93Rd PL
Alachua, FL 32615-6748
Phone (386) 462-0645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME56733 | FL | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Current | Accepting new patients | |
| Florida Department of Children and Families | Current | Accepting new patients |
Locations
7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Chattahoochee, FL
- NPI 1710945118
-
- Psychiatric Hospital
- Macclenny, FL
- NPI 1013931765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851470819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12724 NW 93RD PL",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326156748",
"telephone_number": "386-462-0645",
"fax_number": "386-362-0659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NE 55TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326412783",
"telephone_number": "352-375-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTE",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "FL",
"license": "ME56733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Evan Mikell Incinelli
- David W. Indarawis, PA-C
- Lauren Anne Indelicato, A.R.N.P.
- Peter A. Indelicato, MD
- Infant Hearing Services LLC
- Nora Beatriz Infante, PSY.D.
- Infectious Disease Associates and Travel Medicine PLLC
- Infectious Disease Consultants Sanil Thomas MD LLC
- Infinity Home Care of Ocala, LLC
- Donna Marie Ingersoll-Rowland, CMA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.