Derek Lee Eisnor Md Pa

LBN: Derek Lee Eisnor Md Pa
Derek Lee Eisnor Md Pa is an health care organization with primary practice located at 2080 W Eau Gallie Blvd , Melbourne FL 32935-3185. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as the primary health care specialty. Derek Lee Eisnor Md Pa can be contacted via phone (321) 254-6218, or through Eisnor, Derek Lee via phone (321) 254-6218.

Contact Information

Primary practice address
2080 W Eau Gallie Blvd Melbourne FL 32935-3185
Phone: (321) 254-6218
Fax: (321) 254-6230
Website:
Map and Directions
Authorized official contact:
Name: Eisnor, Derek Lee Doctor of Medicine (MD)
Phone: (321) 254-6218

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME74231 Florida

Profile Details

NPI number 1508002544
LBN Legal business name Derek Lee Eisnor Md Pa
DBA Doing business as
Authorized official Eisnor, Derek Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2008
Last updated Dec 22nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508002544 NPPES
Florida MEDICAID 255900500

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