Individual
DR. DONALD V EITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100296, GAINESVILLE, FL 32610-0296
(352) 392-4193
(352) 846-3937
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME8348
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
ME8348
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040110200
—
FL
Enumeration date
05/31/2006
Last updated
03/21/2017
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