Organization
JEFFREY MARC EISNER, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARC EISNER D.M.D. (OWNER)
(305) 279-8600
Entity
Organization
Contact information
Practice address
11020 N KENDALL DR, SUITE 106, MIAMI, FL 33176-1246
(305) 279-8600
(305) 279-6918
Mailing address
11020 N KENDALL DR, SUITE 106, MIAMI, FL 33176-1246
(305) 279-8600
(305) 279-6918
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66500
MEDICARE PTAN
FL
Enumeration date
07/24/2013
Last updated
07/26/2013
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