Individual
DR. ANDREW COLE EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 MEDICAL BLVD, ENGLEWOOD, FL 34223-3964
(800) 476-8646
(919) 382-3210
Mailing address
4671 GLEASON AVE, SARASOTA, FL 34242-1310
(941) 346-7679
(936) 348-9143
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J6937
TX
207P00000X
Emergency Medicine Physician
Primary
MD.021415
LA
207P00000X
Emergency Medicine Physician
ME0092155
FL
207Q00000X
Family Medicine Physician
J6937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07749
BCBS
FL
05
—
129389608
—
TX
01
—
8BA390
BCBS
TX
Enumeration date
06/13/2005
Last updated
06/24/2021
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