Dr. Larry Steven Eisenfeld
Sports Medicine Orthopaedic Surgeon
12670 Creekside Lane Ste 202
Ft Myers
, Florida 33919-8759
Dr. Larry Steven Eisenfeld
Sports Medicine Orthopaedic Surgeon
12670 Creekside Lane Ste 202
Ft Myers
, Florida 33919-8759
(239) 482-3106
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Larry Steven Eisenfeld
- 12670 Creekside Lane Suite 202
- Ft Myers, FL
- Zip : 33919-8759
- Fax : (239) 482-3106
- Phone : (239) 482-2663
Second Address
- Dr. Larry Steven Eisenfeld
- 12670 Creekside Lane Ste 202
- Ft Myers, FL
- Zip : 33919-8759
- Fax : (239) 482-3106
- Phone : (239) 482-2663
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME0040040 | FL |
National Provider Identifier
| NPI | 1164492823 |
|---|---|
| Provider Name | Dr. Larry Steven Eisenfeld |
| First Address | Ft Myers, FL 33919-8759 |
| Second Address | Ft Myers, FL 33919-8759 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 08/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1164492823 | CIGNA (01) | FL |
| D54476 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.