Provider Demographics
NPI:1740799006
Name:TURNER, EUGENE WILLIAM (ARNP)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:WILLIAM
Last Name:TURNER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11373 CORTEZ BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34613-5405
Mailing Address - Country:US
Mailing Address - Phone:352-596-3032
Mailing Address - Fax:352-596-3066
Practice Address - Street 1:11373 CORTEZ BLVD STE 206
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5405
Practice Address - Country:US
Practice Address - Phone:352-596-3032
Practice Address - Fax:352-596-3066
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9327180363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner