Healthcare Provider Details

I. General information

NPI: 1942396932
Provider Name (Legal Business Name): ERNST EMANUEL VIEUX JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 CLEVELAND AVE SUITE 702
FT MYERS FL
33901-5857
US

IV. Provider business mailing address

P.O. BOX 2147
FT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-3474
  • Fax: 239-343-2968
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberME72453
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberME72453
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: