Organization
EUGENE USBERGHI, JR., D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE USBERGHI JR. D.O. (DOCTOR)
(239) 694-5632
Entity
Organization
Contact information
Practice address
14651 PALM BEACH BLVD, SUITE 100, FORT MYERS, FL 33905-2331
(239) 694-5632
(239) 693-6202
Mailing address
14651 PALM BEACH BLVD, SUITE 100, FORT MYERS, FL 33905-2331
(239) 694-5632
(239) 693-6202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0006042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056169000
—
FL
Enumeration date
08/14/2014
Last updated
08/29/2015
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