Individual
EUGENE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1515 INDIAN RIVER BLVD STE A236, VERO BEACH, FL 32960-7110
(772) 242-4596
Mailing address
715 61ST AVE, VERO BEACH, FL 32968-9258
(772) 453-7315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5192137
FL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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