Individual
ERIC C ISENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 409-3685
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 312-3322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME97185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277392900
—
FL
01
—
AE626Y
MEDICARE
FL
Enumeration date
12/26/2006
Last updated
01/02/2025
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