Thomas J Eisenberg in Daytona Beach - Emergency Medicine

Thomas J Eisenberg - NPI 1770656480

Thomas J Eisenberg is a Emergency Medicine in Daytona Beach, Florida. Thomas J Eisenberg practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Thomas J Eisenberg is 1770656480. The last update date is 2020-01-17.

Thomas J Eisenberg's current location address is 1220 Willis Ave, Daytona Beach, Florida. You can contact this provider via phone number 8005394228 and fax number 3862363161. The mailing address for Thomas J Eisenberg is 1220 Willis Ave, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas J Eisenberg
Address 1220 Willis Ave, Daytona Beach, Florida
Phone Number 8005394228
Fax Number 3862363161
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770656480
Provider Enumeration Date 2006-11-17
Last Updated Date 2020-01-17

Provider Mailing Address Detail

Address 1220 Willis Ave
City Daytona Beach
State Florida (FL)
Post Code 321142810
Phone Number 8005394228
Fax Number 3862363161

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No ME0017880
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22092700 FL --
ME17880 FL STATE MEDICAL LICENSE
53311400 FL --

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FAQs about Thomas J Eisenberg

What is the unique identifier code issued to Thomas J Eisenberg by the Centers for Medicare & Medicaid Services?

The Thomas J Eisenberg has been assigned the NPI (National Provider Identifier) 1770656480. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Thomas J Eisenberg's facilities are situated?

The facilities of Thomas J Eisenberg are physically located at the following address: 1220 Willis Ave, Daytona Beach, FL, 321142810.

What is Thomas J Eisenberg's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thomas J Eisenberg's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770656480 to Thomas J Eisenberg?

The Centers for Medicare & Medicaid Services assigned the 1770656480 to Thomas J Eisenberg on 2006-11-17.

As of what date were the details related to Thomas J Eisenberg most recently updated or revised?

The information pertaining to Thomas J Eisenberg, including its address, specialty, and other relevant details, was last updated or revised on 2020-01-17.

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