IndividualActive
Jose Eduardo, DMD
NPI 1033105986 · Dentist · Patrick Afb, FL
Provider details
- NPI number
- 1033105986
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN15816 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1381 S Patrick Dr
45th Medical Group
Patrick Afb, FL 32925
Phone: (321) 494-6366
Fax: (321) 494-1378
Approximate (ZIP-level) locationGet directions
Mailing address
1907 Auburn Lakes Dr
Rockledge, FL 32955
Registry dates
- Enumerated
- 2005-09-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.