Ermolovich, Eugene Vladimir
Ermolovich, Eugene Vladimir is an individual health care provider with primary practice located at 507 Del Prado Blvd S , Cape Coral FL 33990-2618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ermolovich, Eugene Vladimir can be contacted via phone (239) 424-2030.Contact Information
Primary practice address
507 Del Prado Blvd S
Cape Coral FL 33990-2618
Phone: (239) 424-2030
Fax: (239) 343-4116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME150099 | Florida |
Profile Details
| NPI number | 1548614589 |
|---|---|
| LBN Legal business name | Ermolovich, Eugene Vladimir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2016 |
| Last updated | Feb 8th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548614589 | NPPES |
| Florida | MEDICAID | 110688400 |
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