MEDICARE: EUGENE CONTE DO

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
1	207N00000X	Dermatology Physician	34003451	OH
2	207N00000X	Dermatology Physician	1889	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316056567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENE CONTE DO

Provider Business Mailing Address
First Line	:	151 SOUTHHALL LN
Second Line	:	STE 300
City	:	MAITLAND
State	:	FL
Zip	:	32751-7176
Country	:	US
Telephone Number	:	407-875-2080
Fax Number	:	407-650-3455

Provider Business Practice Location Address
First Line	:	8940 KINGSRIDGE DR
Second Line	:	STE 104
City	:	CENTERVILLE
State	:	OH
Zip	:	45458-1632
Country	:	US
Telephone Number	:	937-436-1433
Fax Number	:	937-439-7443

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/20/2013

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Directions to “ EUGENE CONTE DO” Practice Location

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