Eisenfeld, Larry Steven

Eisenfeld, Larry Steven is an individual health care provider with primary practice located at 12670 Creekside Lane Ste 202, Ft Myers FL 33919-8759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Eisenfeld, Larry Steven can be contacted via phone (239) 482-2663.

Contact Information

Primary practice address
12670 Creekside Lane Ste 202 Ft Myers FL 33919-8759
Phone: (239) 482-2663
Fax: (239) 482-3106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME0040040 Florida

Profile Details

NPI number 1164492823
LBN Legal business name Eisenfeld, Larry Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Apr 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164492823 NPPES
Florida Other 1164492823 CIGNA

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