Individual
DR. MARK SAMUEL EICHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1141
(727) 345-3621
(727) 381-4934
Mailing address
4320 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1141
(727) 345-3621
(727) 381-4934
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME 100677
FL
Other
Enumeration date
03/17/2008
Last updated
02/29/2012
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