# JOHN C EUSTACE, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083858203
- **Authorized official:** JUDITH A EUSTACE (BILLING MANAGER)
- **Authorized official phone:** (305) 273-7772

## Contact information

- **Practice address:** 9000 SW 87TH CT, SUITE 103, MIAMI, FL 33176-2231
- **Practice address phone:** (305) 273-7772
- **Practice address fax:** (305) 273-7292
- **Mailing address:** 9000 SW 87TH CT, SUITE 103, MIAMI, FL 33176-2231
- **Mailing address phone:** (305) 273-7772
- **Mailing address fax:** (305) 273-7292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | ME26900 | FL | Yes |

## Other

- **Enumeration date:** 05/01/2009
- **Last updated:** 05/01/2009