Individual
EUGENE E WENTHE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 GATEWAY DR STE 1E, MELBOURNE, FL 32901-2607
(321) 725-4505
(321) 409-6823
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036061047
IL
207Q00000X
Family Medicine Physician
Primary
ME117071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020057300
BLACK LUNG
IL
01
—
036061047
IL STATE LICENSE
IL
05
—
036061047
—
IL
01
—
054913
HEALTH ALLIANCE
IL
01
—
080098256
RR MEDICARE PIN
IL
01
—
08421024
BC/BS
IL
01
—
101343
HEALTHLINK
IL
01
—
133586700
ACS-OWCP
IL
01
—
14D0949277
CLIA
IL
01
—
170774
PERSONAL CARE
IL
01
—
6394P
CATERPILLAR
IL
01
—
CD7143
RR MEDICARE GROUP
IL
Enumeration date
08/09/2006
Last updated
10/31/2018
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