Basic Information
| Provider Information | |||||||||
| NPI: | 1942396932 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VIEUX | ||||||||
| FirstName: | ERNST | ||||||||
| MiddleName: | EMANUEL | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 2147 | ||||||||
| Address2: | |||||||||
| City: | FT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339022147 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 2780 CLEVELAND AVE | ||||||||
| Address2: | SUITE 702 | ||||||||
| City: | FT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339015857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2393433474 | ||||||||
| FaxNumber: | 2393432968 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 10/27/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0102X | ME72453 | FL | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0127X | ME72453 | FL | Y | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery |
ID Information
| ID | Type | State | Issuer | Description | 251819800 | 05 | FL | MEDICAID | K5757 | 01 | FL | GROUP MEDICARE NUMBER | OTHER | 269382800 | 01 | FL | GROUP MEDICAID NUMBER | OTHER |