Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 223917 | MA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME117953 | FL |
NPI | 1497734669 |
---|---|
Provider Name | Carl Christopher Eierle |
First Address | Plantation, FL 33324-3166 |
Second Address | Plantation, FL 33324-3166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 31/03/2021 |