Individual
DR. EUGENE VLADIMIR ERMOLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2618
(239) 424-2030
(239) 343-4116
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2030
(239) 343-4116
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME150099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110688400
—
FL
Enumeration date
04/15/2016
Last updated
02/08/2022
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