Individual provider Active NPI

Eddy Hera Pina

  • Psychiatric/Mental Health Nurse Practitioner
  • Davie, FL
National Provider Identifier
1992595987
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11039402 Issued in FL
Practice address
15440 Briarwood MNR
Davie, FL 33331-2545
Phone
(754) 265-6754
NPI assigned
May 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11039402 FL Primary

Addresses

Primary practice location

15440 Briarwood MNR
Davie, FL 33331-2545

Mailing address

15440 Briarwood MNR
Davie, FL 33331-2545
Phone (754) 265-6754

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710003822 FL Practitioner - Nurse Practitioner 4587179478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose-Laure Moussignac MD PAGroup PAC ID 8921307828, 3 clinicians
Palm Beach Palliative Care PAGroup PAC ID 4789074568, 3 clinicians

Practice addresses (Care Compare)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 974-0400

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 395-7100

Hospital & facility affiliations

  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11039402FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Palliative Care PA CurrentSince May 25, 2025 Accepting new patients
Rose-Laure Moussignac MD PA CurrentSince May 25, 2025 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1992595987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15440 BRIARWOOD MNR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312545",
            "telephone_number": "754-265-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15440 BRIARWOOD MNR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333312545",
            "telephone_number": "754-265-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERA PINA",
        "first_name": "EDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11039402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.