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General NPI Number Information
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NPI Number | 1548791064
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Entity Type | Individual
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Provider Name | PAUL ANDRE EUGENE MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2017
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 2905 N COMMERCE PKWY
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City | MIRAMAR
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State | FL
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Zip | 33025-3957
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Country | US
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Telephone | 833-582-1017
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 NW 12TH AVE HOSPICE AND PALLIATIVE CARE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-4310
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number | ME144880
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License Number State | FL
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