Individual provider Active NPI

Eduardo Jesus Chico

  • Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1932031523
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
688571 Issued in FL
Practice address
674 Persian Dr
Haines City, FL 33844-8381
Phone
(787) 394-6643
NPI assigned
May 30, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 688571 FL Primary

Addresses

Primary practice location

674 Persian Dr
Haines City, FL 33844-8381

Mailing address

674 Persian Dr
Haines City, FL 33844-8381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
688571FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1932031523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 PERSIAN DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 PERSIAN DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338448381",
            "telephone_number": "787-394-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICO",
        "first_name": "EDUARDO",
        "middle_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "688571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.