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NPI Code Detail

MEDICARE: GRAHAM EYEINGTON

MEDICARE: GRAHAM EYEINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1225970114
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRAHAM EYEINGTON
Provider Business Mailing Address
First Line : 10101 FOREST HILL BLVD
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6103
Country : US
Telephone Number : 561-472-2583
Fax Number :
Provider Business Practice Location Address
First Line : 10101 FOREST HILL BLVD
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6103
Country : US
Telephone Number : 561-472-2583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/09/2026

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Directions to “ GRAHAM EYEINGTON ” Practice Location

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