Active NPI
Eugene Lloyd Manuel
- Internal Medicine Physician
- Tavernier, FL
National Provider Identifier
1710917562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS0003888
- Practice address
- 91500 Overseas Hwy
Tavernier, FL 33070-2547 - Phone
- (305) 434-3000
- Fax
- (305) 434-1641
- NPI assigned
- Jul 4, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS0003888 | FL | Primary |
Addresses
Primary practice location
91500 Overseas Hwy
Tavernier, FL 33070-2547
Mailing address
PO Box 9420
Tavernier, FL 33070-9420
Phone (305) 731-3462
Other names 1
- Dr. Eugene L. Manuel
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0003888 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keys Physician Services PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Tavernier, FL
- NPI 1417131913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710917562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9420",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "330709420",
"telephone_number": "305-731-3462",
"fax_number": "305-434-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91500 OVERSEAS HWY",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "330702547",
"telephone_number": "305-434-3000",
"fax_number": "305-434-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "EUGENE",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS0003888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUGENE",
"last_name": "MANUEL",
"middle_name": "L.",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tavernier, 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.