Individual
DR. EUGENE PASTORIUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6888
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PR528
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PR528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO4151
MEDICAL LICENSE
FL
Enumeration date
10/30/2017
Last updated
12/13/2021
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