Basic Information
Provider Information
NPI: 1689124554
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EURY
FirstName: KYLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 38135 MARKET SQ
Address2:  
City: ZEPHYRHILLS
State: FL
PostalCode: 335427505
CountryCode: US
TelephoneNumber: 3525670188
FaxNumber: 8133555101
Practice Location
Address1: 38051 MARKET SQ
Address2:  
City: ZEPHYRHILLS
State: FL
PostalCode: 335427504
CountryCode: US
TelephoneNumber: 3187821329
FaxNumber: 8133555085
Other Information
ProviderEnumerationDate: 10/04/2016
LastUpdateDate: 12/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN9260067FLN Nursing Service ProvidersRegistered Nurse 
363LF0000XARNP9260067FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000XAPRN9260067FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home