Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 25MA10367100 | NJ |
N | 207N00000X | Dermatologist | ME140828 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | 25MA10367100 | NJ |
Y | 207ND0101X | MOHS-Micrographic Surgeon | ME140828 | FL |
N | 207NS0135X | Procedural Dermatology | ME140828 | FL |
NPI | 1306250790 |
---|---|
Provider Name | Dr. Steven Edwin Eilers |
First Address | Lake Mary, FL 32746-2193 |
Second Address | Lake Mary, FL 32746-2193 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2014 |
Last Update Date | 22/11/2020 |