Individual
MR. RICHARD MARVIN EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5000
Mailing address
362 GULF BREEZE PKWY # 279, GULF BREEZE, FL 32561-4492
(702) 285-8989
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
02/23/2026
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