Organization
EISMAN & EISMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE HERBERT EISMAN MD (PRESIDENT)
(305) 932-7814
Entity
Organization
Contact information
Practice address
17971 BISCAYNE BLVD STE 208, AVENTURA, FL 33160
(305) 932-7814
(305) 466-9051
Mailing address
17971 BISCAYNE BLVD STE 208, AVENTURA, FL 33160-2532
(305) 932-7814
(305) 466-9051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME0015831
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME0015832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007698322
AETNA
FL
01
—
00159
BLUE CROSS BLUE SHIELD
FL
01
—
129800414874
HUMANA
FL
01
—
1492299
CIGNA
FL
01
—
677143
UNITED HEALTH CARE
FL
01
—
CK3012
RAILROAD MEDICARE
FL
Enumeration date
07/21/2006
Last updated
08/17/2018
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