Provider Demographics
NPI:1871504597
Name:EUGENE J CARR DPM PA
Entity type:Organization
Organization Name:EUGENE J CARR DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:239-262-6765
Mailing Address - Street 1:275 EIGHTH STREET SOUTH
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102
Mailing Address - Country:US
Mailing Address - Phone:239-262-6765
Mailing Address - Fax:239-262-1321
Practice Address - Street 1:275 EIGHTH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102
Practice Address - Country:US
Practice Address - Phone:239-262-6765
Practice Address - Fax:239-262-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0491Medicare PIN
FL0952350001Medicare NSC