EUGENE E HIBEN MD PA
Medical Practice at 56 St, Tampa, FL

License number
Florida ME68338
Category
Medical Practice
Type
Pediatrics
Owner
Name: EUGENE HIBEN MD
Title: PHYSICIAN
Phone: (813) 983-9495
Address
Address
13381 N 56Th St, Tampa, FL 33617
National Provider ID: 1447635677
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EUGENE E HIBEN MD, PA

Tampa, FL

Industry:
Medical Doctor's Office
Registration:
May 6, 2005
Addresses:
13381 N.56 St, Tampa, FL 33617 (Physical)
13389 N 56 St, Tampa, FL 33617
State ID:
P05000067099
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director, Vice President:
Eugene E Hiben (President, Treasurer, Secretary, Director, Vice President), 13389 N 56 St, Tampa, FL 33617 (Physical)
Agent:
Eugene Hiben,13389 N 56 St, Tampa, FL 33617 (Physical)
EIN:
202786569

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