Eugene, Jean-Marie G

Eugene, Jean-Marie G is an sole proprietor health care provider with primary practice located at 1362 Sw Bayshore Blvd , Port St Lucie FL 34983-2929. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Eugene, Jean-Marie G can be contacted via phone (772) 873-5213.

Contact Information

Primary practice address
1362 Sw Bayshore Blvd Port St Lucie FL 34983-2929
Phone: (772) 873-5213
Fax: (772) 873-5215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME43064 Florida

Profile Details

NPI number 1265524862
LBN Legal business name Eugene, Jean-Marie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Nov 1st, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265524862 NPPES
Florida MEDICAID 268016500

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