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Individual

MR. EUGENE A MISQUITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PA

Contact information

Practice address
901 45TH ST, ST MARYS HOSPITAL, WEST PALM BEACH, FL 33407-2413
(561) 844-6300
Mailing address
PO BOX 530396, LAKE PARK, FL 33403-8906
(561) 351-7710
(855) 205-7185

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
ME58715
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009328100
FL
05
064645800
FL
Enumeration date
01/27/2006
Last updated
11/14/2016
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