# EUGENE E GREGUSH MD PA

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

## Provider details

- **NPI number:** 1528377827
- **Authorized official:** EUGENE E GREGUSH MD (OWNER)
- **Authorized official phone:** (941) 624-3500

## Contact information

- **Practice address:** 2525 HARBOR BLVD, STE 201A, PORT CHARLOTTE, FL 33952-5338
- **Practice address phone:** (941) 624-3500
- **Practice address fax:** (941) 625-6977
- **Mailing address:** 2525 HARBOR BLVD, STE 201A, PORT CHARLOTTE, FL 33952-5338
- **Mailing address phone:** (941) 624-3500
- **Mailing address fax:** (941) 625-6977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME41486 | FL | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 10/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME41486 | STATE LICENSE NUMBER | FL |