Individual
COLBY EISENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 OLD CAMP RD STE 100, THE VILLAGES, FL 32162-1762
(844) 884-9355
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37206
OK
207R00000X
Internal Medicine Physician
Primary
ME163433
FL
390200000X
Student in an Organized Health Care Education/Training Program
57.246879
OH
Other
Enumeration date
04/05/2016
Last updated
05/09/2025
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