Organization
EUGENE E GREGUSH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE E GREGUSH MD (OWNER)
(941) 624-3500
Entity
Organization
Contact information
Practice address
2525 HARBOR BLVD, STE 201A, PORT CHARLOTTE, FL 33952-5338
(941) 624-3500
(941) 625-6977
Mailing address
2525 HARBOR BLVD, STE 201A, PORT CHARLOTTE, FL 33952-5338
(941) 624-3500
(941) 625-6977
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME41486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME41486
STATE LICENSE NUMBER
FL
Enumeration date
10/04/2010
Last updated
10/14/2010
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