MEDICARE: RYNEAL N EUGENIO D.O.

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	208600000X	Surgery Physician	5101022718	MI
2	208600000X	Surgery Physician	2021009507	MO
3	208600000X	Surgery Physician	OS18734	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750731683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYNEAL N EUGENIO D.O.

Provider Business Mailing Address
First Line	:	1601 W TIMBERLANE DR STE 100
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-0957
Country	:	US
Telephone Number	:	813-708-1312
Fax Number	:	813-443-8147

Provider Business Practice Location Address
First Line	:	1601 W TIMBERLANE DR STE 100
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-0957
Country	:	US
Telephone Number	:	813-708-1312
Fax Number	:	813-443-8147

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

Provider Enumeration Date	:	06/22/2016
Last Update Date	:	10/06/2022

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Directions to “ RYNEAL N EUGENIO D.O.” Practice Location

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