EUGENE BECKER MD, PA
Osteopathic Medicine at 111 Ave, Naples, FL

License number
Florida ME 90976
Category
Osteopathic Medicine
Type
Anesthesiology
License number
Florida ME 90976
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: EUGENE BECKER MD
Title: OWNER
Phone: (239) 594-2500
Address
Address
840 111Th Ave N #4, Naples, FL 34108
National Provider ID: 1356383053
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EUGENE BECKER, M.D., PA

Naples, FL

Status:
Inactive
Inactive reason:
VOLUNTARY DISSOLUTION
Registration:
Sep 1, 2004
Inactive since:
Apr 29, 2008
Addresses:
840 111 Ave N SUITE 4, Naples, FL 34108 (Physical)
Naples, FL 34108 (Mailing)
PO Box 112393, Naples, FL 34108
State ID:
P04000125740
Business type:
Florida Profit Corporation
President:
Eugene Becker President, inactive, 840 111 Ave N SUITE 4, Naples, FL 34108 (Physical)
Agent:
Marc L. Shapiro,720 Goodlette Rd N SUITE 304, Naples, FL 34102 (Physical)
EIN:
562478702

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