Individual
DR. BRUCE M EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1094 MILITARY TRL, JUPITER, FL 33458-7021
(561) 622-6111
(855) 215-9930
Mailing address
1094 MILITARY TRL, JUPITER, FL 33458-7021
(561) 622-6111
(561) 246-3721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0056607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634905
BCBS INDIVIDUAL
MI
01
—
110246813
RR MEDICARE
MI
01
—
129444
CARE-PREFERRED CHOICES
MI
05
—
2786524-00
—
FL
05
—
4478282
—
MI
01
—
78113
BC/BS
FL
01
—
AF055
MEDICARE
FL
Enumeration date
12/09/2005
Last updated
11/09/2018
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