Individual
DR. PETER J EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029-5592
(954) 538-4864
Mailing address
500 N HIATUS RD STE 200, PEMBROKE PINES, FL 33026-5213
(954) 437-4800
(954) 437-6628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME66684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932155751
NPI
FL
05
—
252156300
—
FL
01
—
25660
BCBS
FL
Enumeration date
05/25/2006
Last updated
04/05/2022
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