Provider Demographics
NPI:1609832534
Name:EYE, EARL HOWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:HOWARD
Last Name:EYE
Suffix:JR
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 1:1842 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4443
Mailing Address - Country:US
Mailing Address - Phone:904-725-6300
Mailing Address - Fax:904-725-5447
Practice Address - Street 1:1842 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4443
Practice Address - Country:US
Practice Address - Phone:904-725-6300
Practice Address - Fax:904-725-5447
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME19239207RC0200X, 207RI0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D85107Medicare UPIN
FL15303ZMedicare PIN