Individual
EAVANS DUROSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 N 7TH ST, FORT PIERCE, FL 34950-8228
(772) 466-3101
Mailing address
506 N 7TH ST, FORT PIERCE, FL 34950-8228
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME45782
FL
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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