Individual
DONALD T EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JENNINGS AVE, EUSTIS, FL 32726-6148
(352) 357-5311
(352) 357-0659
Mailing address
601 JENNINGS AVE, EUSTIS, FL 32726-6148
(352) 357-5311
(352) 357-0659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME64600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27085
BCBS
FL
Enumeration date
06/04/2006
Last updated
08/17/2007
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