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Organization

EUGENE E HIBEN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENE HIBEN MD (PHYSICIAN)
(813) 983-9495
Entity
Organization

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
ME68338
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005NL
BLUE SHIELD OF FLORIDA
FL
05
378347200
FL
Enumeration date
07/29/2015
Last updated
07/29/2015
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