Individual
DR. DEREK L EISNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 W EAU GALLIE BLVD, SUITE A, MELBOURNE, FL 32935-3185
(321) 254-6218
(321) 254-6230
Mailing address
2080 W EAU GALLIE BLVD, SUITE A, MELBOURNE, FL 32935-3185
(321) 254-6218
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0074231
FL
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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