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EUGENE USBERGHI JR. D.O. NPI 1053710152


NPI Information

NPI: 1053710152
Provider Name: EUGENE USBERGHI, JR., D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
14651 PALM BEACH BLVD
SUITE 100
FORT MYERS, FL
ZIP 33905
Phone: (239) 694-5632
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EUGENE USBERGHI, JR., D.O. is a family medicine in Fort Myers, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EUGENE USBERGHI, JR., D.O. NPI is 1053710152. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14651 PALM BEACH BLVD
SUITE 100
FORT MYERS, FL
ZIP 33905-331
Phone: (239) 694-5632
Fax: (239) 693-6202

The provider's authorized official is Eugene Usberghi .
The authorized official title is Doctor and has the following contact phone number (239) 694-5632.

The enumeration date for this NPI number is 8/14/2014 and was last updated on 8/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS0006042FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E78776MEDICARE UPINFLORIDA
2056169000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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