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Individual

MARK EISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 780-7534
(813) 715-1810
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 780-1255
(813) 780-9773

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME57600
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063354200
FL
01
100005054
RR MEDICARE
FL
Enumeration date
08/05/2006
Last updated
08/25/2021
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