Individual
EUGENE MARION CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 S HALIFAX AVE, DAYTONA BEACH, FL 32118-4481
(386) 252-7119
(386) 253-5518
Mailing address
155 S HALIFAX AVE, DAYTONA BEACH, FL 32118-4481
(386) 252-7119
(386) 253-5518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0045774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019401900
—
FL
01
—
64561
BCBS
—
Enumeration date
08/22/2006
Last updated
06/26/2023
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