Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | OS8208 | FL |
Y | 207RP1001X | Pulmonary Disease | OS8208 | FL |
NPI | 1053330787 |
---|---|
Provider Name | Eugene H Mccoskey |
First Address | Orange Park, FL 32073-4491 |
Second Address | Orange Park, FL 32073-4421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 23/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259517800 | (05) | FL |
G13337 | (02) | FL |