EUSTUS STEPHEN NELSON (NPI# 1417957507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417957507 |
Entity Type | Individual |
Full Name | EUSTUS STEPHEN NELSON |
Credential | MD |
Practice Address |
4215 Sun N Lake Blvd Sebring FL 33872-2158 |
Practice Telephone | 8633822248 |
Practice Fax Number | 8633821242 |
Mailing Telephone | 8633822248 |
Mailing Fax Number | 8633821242 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2013-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | ME45558 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 008356800 | 05 |
Street Address |
4215 SUN N LAKE BLVD |
City | SEBRING |
State | FL |
Zip Code | 33872-2158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962052449 | Jorge I Zeledon Md Pa | Internal Medicine | 4215 Sun N Lake Blvd, Sebring, FL 33872-2158 | 2019-09-16 |
1073988648 | Preserva Therapy Group Inc | Clinic/Center | 4215 Sun N Lake Blvd, Sebring, FL 33872-2158 | 2015-12-08 |
1104064245 | Audwin B Nelson Md P A | Internal Medicine | 4215 Sun N Lake Blvd, Sebring, FL 33872-2158 | 2009-01-28 |
1306030549 | Eustus S Nelson Md Pa | Urology | 4215 Sun N Lake Blvd, Sebring, FL 33872-2158 | 2007-08-30 |
1265571293 | Jorge Ivan Zeledon | Specialist | 4215 Sun N Lake Blvd, Sebring, FL 33872-2158 | 2007-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609382738 | Georgiann Rice | Counselor | 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 | 2017-12-27 |
1124569751 | Zechariah Paolo Martinez Dominguez | Nurse Practitioner | 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 | 2017-03-15 |
1265752158 | Livia Machado Blanchette | Pharmacist | Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 | 2010-06-02 |
1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
1568624427 | Deepti Bhandare | Internal Medicine | 4638 Sun'n Lake Blvd, Sebring, FL 33872 | 2008-07-01 |
1154527687 | Jennifer Marie Ushka | Speech-Language Pathologist | 4501 Darnell Dr, Sebring, FL 33872 | 2007-06-22 |
1922024850 | Roger Lee Wittum | Internal Medicine | 4240 Sun 'n Lake Boulevard, Suite 202, Sebring, FL 33872 | 2006-07-14 |
1902835176 | Shahnaz Punjani | Internal Medicine | 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 | 2006-07-01 |
1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
1699315887 | Kir Advance Medical Transportation.inc | Private Vehicle | 4117 Cortez Blvd, Sebring, FL 33872 | 2020-01-15 |
Find all providers in zip 33872 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679872618 | Sebring Hma Physician Management LLC | Urology | 3607 S Highlands Ave, Sebring, FL 33870-5418 | 2011-03-16 |
1417127283 | Sebring Urology Center | Urology | 6801 U S Hwy 27 North, Suite C2, Sebring, FL 33870 | 2008-03-07 |
1164520466 | Kwabena K Pobi | Urology | 2373 Us Highway 27 S, Sebring, FL 33870-4926 | 2006-09-20 |
1326032954 | Anthony J Arciola | Urology | 6801 Us 27 N, Suite C2, Sebring, FL 33870-7840 | 2005-09-09 |
1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
1891790374 | Randall Clark | Urology | 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872-2171 | 2005-06-20 |
1952697559 | Sylvester Ejiofor Onyishi | Urology | 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872-2171 | 2011-06-22 |
1518155977 | Kye C Pahk | Urology | 6801 Us 27 N, C2, Sebring, FL 33870-7840 | 2007-10-11 |
1306030549 | Eustus S Nelson Md Pa | Urology | 4215 Sun N Lake Blvd, Sebring, FL 33872-2158 | 2007-08-30 |
1558357657 | Kye C Pahk | Urology | 6801 Us 27 N, Suite C-2, Sebring, FL 33870-1000 | 2005-09-23 |
Find all providers in SEBRING |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.