Killeavy, Eugene S

Killeavy, Eugene S is an individual health care provider with primary practice located at 150 N Sykes Creek Pkwy Suite 300, Merritt Island FL 32953-3488. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Killeavy, Eugene S can be contacted via phone (321) 452-3811.

Contact Information

Primary practice address
150 N Sykes Creek Pkwy Suite 300 Merritt Island FL 32953-3488
Phone: (321) 452-3811
Fax: (321) 454-4026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME59238 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME59238 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME59238 Florida

Profile Details

NPI number 1801805916
LBN Legal business name Killeavy, Eugene S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Sep 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801805916 NPPES
Florida MEDICAID 070199800

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