Individual
MR. EUGENE JONATHAN C. EUGENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 N SEMORAN BLVD STE 104, WINTER PARK, FL 32792-3800
(321) 436-0771
(407) 218-8906
Mailing address
2208 TERRANOVA CT, LEXINGTON, KY 40513-1839
(859) 536-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37901
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331711
ANTHEM BCBS
KY
01
—
611033603
HUMANA
KY
05
—
64075161
—
KY
01
—
P00205115
RAILROAD MEDICARE
KY
Enumeration date
03/31/2006
Last updated
06/01/2021
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