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Individual

DR. EUGENE EDWARD HIBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13381 N 56TH ST, TAMPA, FL 33617-1161
(813) 983-9495
(813) 983-9496
Mailing address
13381 N 56TH ST, TAMPA, FL 33617-1161
(813) 983-9495
(813) 983-9496

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0068338
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04829
HEALTHEASE
FL
01
11107101
CITRUS
FL
01
202786569
TRICARE
FL
01
204612
AMERIGROUP
FL
01
206656
AVMED
FL
01
27158
BLUE SHIELD FLORIDA
FL
05
378347200
FL
01
4646665
AETNA
FL
Enumeration date
07/03/2006
Last updated
04/15/2015
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