Organization
JOHN C EUSTACE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH A EUSTACE (BILLING MANAGER)
(305) 273-7772
Entity
Organization
Contact information
Practice address
9000 SW 87TH CT, SUITE 103, MIAMI, FL 33176-2231
(305) 273-7772
(305) 273-7292
Mailing address
9000 SW 87TH CT, SUITE 103, MIAMI, FL 33176-2231
(305) 273-7772
(305) 273-7292
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
ME26900
FL
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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