Individual
SAMUEL EISENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
901 S FLAGLER DR, WEST PALM BEACH, FL 33401-6505
(561) 803-2338
Mailing address
1091 WINDING ROSE WAY, WEST PALM BEACH, FL 33415-4479
(336) 213-0831
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2169
FL
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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