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Individual

DR. HOWARD EISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3680 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-0380
(239) 936-6684
Mailing address
2234 COLONIAL BLVD., ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME66815
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17263
WELLCARE MEDICARE ONLY
FL
01
249070
AVMED
FL
01
25935
BCBS FL
FL
01
4347016
AETNA
FL
01
8996323
CIGNA
FL
01
P01027501
RAILROAD MCR
FL
01
P929106
OPTIMUM
FL
01
P930720
FREEDOM HEALTH
FL
Enumeration date
02/06/2006
Last updated
05/10/2017
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