Provider Demographics
NPI:1720042872
Name:SILVERSTEIN, EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:
Last Name:SILVERSTEIN
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 1:340 HEALD WAY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32163-6087
Mailing Address - Country:US
Mailing Address - Phone:352-259-5762
Mailing Address - Fax:352-360-6582
Practice Address - Street 1:340 HEALD WAY
Practice Address - Street 2:SUITE 208
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32163-6087
Practice Address - Country:US
Practice Address - Phone:352-259-5762
Practice Address - Fax:352-360-6582
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 164992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL050970100Medicaid
FL59070OtherBLUE CROSS BLUE SHIELD #
FL59070OtherBLUE CROSS BLUE SHIELD #
FLD64553Medicare UPIN
FL050970100Medicaid