Eugene Usberghi JR.
Family Doctor - Adult Medicine
14801 Palm Beach Blvd Suite 401
Fort Myers
, Florida 33905-2312
Eugene Usberghi JR.
Family Doctor - Adult Medicine
14801 Palm Beach Blvd Suite 401
Fort Myers
, Florida 33905-2312
(239) 693-6202
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Eugene Usberghi JR.
- 14801 Palm Beach Blvd Suite 401
- Fort Myers, FL
- Zip : 33905-2312
- Fax : (239) 693-6202
- Phone : (239) 694-5632
Second Address
- Eugene Usberghi JR.
- 14801 Palm Beach Blvd Suite 401
- Fort Myers, FL
- Zip : 33905-2312
- Fax : (239) 693-6202
- Phone : (239) 694-5632
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | OS6042 | FL |
National Provider Identifier
| NPI | 1093802092 |
|---|---|
| Provider Name | Eugene Usberghi JR. |
| First Address | Fort Myers, FL 33905-2312 |
| Second Address | Fort Myers, FL 33905-2312 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 12/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 056169000 | (05) | FL |
| 20 | TAXONOMY CODE (01) | FL |
| 593697413 | TAX ID (01) | FL |
| E78776 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.