Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edison Jose Cano Cevallos, MD

Individual provider Internal Medicine Physician · NPI 1982080339

Edison Jose Cano Cevallos, MD is an Infectious Disease in Hollywood, Florida. Qualified in 2013, 13 years ago. Practices with South Broward Hospital District, a 665-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Minnesota.

Years since qualifying
13
Licensed in
FL, MN
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5647 Hollywood Blvd
Hollywood, FL 33021-6325
Phone: (954) 276-1616
Fax: (954) 276-0186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 N Flamingo Rd Ste 302, Pembroke Pines, FL 33028-1010 — (954) 276-1616

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence ME151652 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME151652 (FL)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 63792 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982080339
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2015
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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