Active NPI
John Charles Eustace, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Miami, FL
National Provider Identifier
1083733067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- ME2690
- Practice address
- 9000 SW 87TH CT
Suite 103
Miami, FL 33176-2231 - Phone
- (305) 273-7772
- Fax
- (305) 273-7292
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ME2690 | FL | Primary |
Addresses
Primary practice location
9000 SW 87TH CT
Suite 103
Miami, FL 33176-2231
Mailing address
9000 SW 87TH CT
Suite 103
Miami, FL 33176-2231
Phone (305) 273-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26900 | FL | MD | Dentist |
| ME2690 | FL | MD | Addiction Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083733067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 SW 87TH CT",
"address_2": "SUITE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762231",
"telephone_number": "305-273-7772",
"fax_number": "305-273-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 SW 87TH CT",
"address_2": "SUITE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762231",
"telephone_number": "305-273-7772",
"fax_number": "305-273-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUSTACE",
"first_name": "JOHN",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "FL",
"license": "ME2690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.