Provider Demographics
NPI:1447283163
Name:FINAN, EUGENE T JR (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:T
Last Name:FINAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EUGENE
Other - Middle Name:T
Other - Last Name:FINAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:239 SHARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-5723
Mailing Address - Country:US
Mailing Address - Phone:239-597-7001
Mailing Address - Fax:239-597-7003
Practice Address - Street 1:1656 MEDICAL BLVD STE 302
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1423
Practice Address - Country:US
Practice Address - Phone:239-597-7001
Practice Address - Fax:239-597-7003
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME59185207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0546224-00Medicaid
FLE89300Medicare UPIN
FL12236Medicare ID - Type Unspecified