Organization
HARRY W EICHENBAUM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S EICHENBAUM MD (PRESIDENT)
(727) 345-3621
Entity
Organization
Contact information
Practice address
4320 CENTRAL AVE, ST PETERSBURG, FL 33711-1141
(727) 345-3621
(727) 381-4934
Mailing address
4320 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1141
(727) 345-3621
(727) 381-4934
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MES 100677
FL
Other
Enumeration date
02/11/2009
Last updated
03/01/2012
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