Individual
EUSTUS STEPHEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4215 SUN N LAKE BLVD, SEBRING, FL 33872-2158
(863) 382-2248
(863) 382-1242
Mailing address
4215 SUN N LAKE BLVD, SEBRING, FL 33872-2158
(863) 382-2248
(863) 382-1242
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME45558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008356800
—
FL
Enumeration date
07/29/2005
Last updated
08/28/2013
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