Provider Demographics
NPI:1447267588
Name:EISNER, EUGENE M (MD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:M
Last Name:EISNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:SUITE 400-E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-598-2020
Mailing Address - Fax:305-274-0426
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:SUITE 400-E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-598-2020
Practice Address - Fax:305-274-0426
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0023556207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL91896ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
FLD59854Medicare UPIN