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DR. EUGENE VLADIMIR ERMOLOVICH M.D. NPI 1548614589


NPI Information

NPI: 1548614589
Provider Name: DR. EUGENE VLADIMIR ERMOLOVICH, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
507 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33990
Phone: (239) 424-2030
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DR. Eugene Vladimir Ermolovich, M.D. is an urology in Cape Coral, FL with 8 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Eugene Vladimir Ermolovich, M.D. NPI is 1548614589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

507 DEL PRADO BLVD S
CAPE CORAL, FL
ZIP 33990-618
Phone: (239) 424-2030
Fax: (239) 343-4116

The NPI 1548614589 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 2/8/2022.


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
1208800000XUrologyME150099FLORIDAYes

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
1110688400MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.