| Eisman & Eisman Md Pa | |
|
17971 Biscayne Blvd Ste 208 Aventura FL 33160 | |
| (305) 932-7814 | |
| (305) 466-9051 |
| Full Name | Eisman & Eisman Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 17971 Biscayne Blvd Ste 208, Aventura, Florida |
| Authorized Official Name and Position | Eugene Herbert Eisman (PRESIDENT) |
| Authorized Official Contact | 3059327814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisman & Eisman Md Pa 17971 Biscayne Blvd Ste 208 Aventura FL 33160-2532 Ph: (305) 932-7814 | Eisman & Eisman Md Pa 17971 Biscayne Blvd Ste 208 Aventura FL 33160 Ph: (305) 932-7814 |
| NPI Number | 1235150996 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 9739183831 |
|---|---|
| Medicare Enrollment ID | O20060901000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235150996 | NPI | - | NPPES |
| CK3012 | Other | FL | RAILROAD MEDICARE |
| 129800414874 | Other | FL | HUMANA |
| 1492299 | Other | FL | CIGNA |
| 00159 | Other | FL | BLUE CROSS BLUE SHIELD |
| 677143 | Other | FL | UNITED HEALTH CARE |
| 0007698322 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0015831 (Florida) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME0015832 (Florida) | Primary |
| Provider Name | Eugene Herbert Eisman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134172364 PECOS PAC ID: 8123021680 Enrollment ID: I20060823000140 |
| Provider Name | Diane B Eisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861445041 PECOS PAC ID: 0941208797 Enrollment ID: I20061110000163 |
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