Derek Lee Eisnor MD PA
Emergency Medicine, Emergency Medical Services in Melbourne, FL. Organization (NPI-2).
NPI number1508002544
StatusActive
Last updated in NPPESDec 22, 2008
Details
- NPI
- 1508002544
- Entity type
- Organization (NPI-2)
- Legal business name
- Derek Lee Eisnor MD PA
- Organization subpart
- No
- Enumeration date
- Dec 22, 2008
- Last updated
- Dec 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | ME74231 | FL | Yes |
Practice location
2080 W Eau Gallie BlvdMelbourne, FL 32935-3185
Phone 321-254-6218 · Fax 321-254-6230
Mailing address
2080 W Eau Gallie BlvdMelbourne, FL 32935-3185
Phone 321-254-6218 · Fax 321-254-6230
Authorized official
Derek Lee Eisnor
Owner/President
3212546218
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