Provider Demographics
NPI:1578664751
Name:PEREIRA, EUGENE G (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:G
Last Name:PEREIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7429 MONTE VERDE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-4562
Mailing Address - Country:US
Mailing Address - Phone:941-845-0233
Mailing Address - Fax:941-538-6063
Practice Address - Street 1:2030 BEE RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6108
Practice Address - Country:US
Practice Address - Phone:941-845-0233
Practice Address - Fax:941-538-6063
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME111784208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010816600Medicaid
FL14J9AOtherBCBS FLORIDA
FL010816600Medicaid