Individual
DR. JESSE H. EISENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5065 STATE ROAD 7, SUITE 201, LAKE WORTH, FL 33449-4615
(561) 753-7487
(561) 753-8161
Mailing address
5065 STATE ROAD 7, SUITE 201, LAKE WORTH, FL 33449-4615
(561) 753-7487
(561) 753-8161
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0051941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062434900
—
FL
01
—
08653
BC/BS
—
Enumeration date
07/13/2005
Last updated
11/20/2012
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