Individual
EUGENE BASHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
2601 VILLAGE BLVD APT 202, WEST PALM BEACH, FL 33409-6904
(818) 470-7841
Mailing address
2601 VILLAGE BLVD APT 202, WEST PALM BEACH, FL 33409-6904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1889
FL
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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