Individual
P H EISENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
9291 GLADES RD, SUITE 305, BOCA RATON, FL 33434-3959
(561) 470-0077
(561) 470-0079
Mailing address
9291 GLADES RD, SUITE 305, BOCA RATON, FL 33434-3959
(561) 470-0077
(561) 470-0079
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-1496
FL
Other
Enumeration date
10/18/2006
Last updated
02/02/2010
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