Individual
DR. LARRY STEVEN EISENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12670 CREEKSIDE LANE, STE 202, FT MYERS, FL 33919-8759
(239) 482-2663
(239) 482-3106
Mailing address
12670 CREEKSIDE LANE, SUITE 202, FT MYERS, FL 33919-8759
(239) 482-2663
(239) 482-3106
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME0040040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164492823
CIGNA
FL
Enumeration date
01/25/2006
Last updated
04/08/2008
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