Eugenio, Eugene Jonathan C.

Eugenio, Eugene Jonathan C. is an individual health care provider with primary practice located at 483 N Semoran Blvd Ste 104 , Winter Park FL 32792-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Eugenio, Eugene Jonathan C. can be contacted via phone (321) 436-0771.

Contact Information

Primary practice address
483 N Semoran Blvd Ste 104 Winter Park FL 32792-3800
Fax: (407) 218-8906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 37901 Kentucky

Profile Details

NPI number 1679534366
LBN Legal business name Eugenio, Eugene Jonathan C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 1st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679534366 NPPES
Kentucky MEDICAID 64075161
Kentucky Other 000000331711
Kentucky Other P00205115
Kentucky Other 611033603

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