EVZEN EISELT


Address: 1225 Florida Ave S Ste D, Rockledge, FL 32955-2473
Phone: 3216319988

EVZEN EISELT (NPI# 1609964808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609964808
Entity Type Individual
Full Name EVZEN EISELT
Credential M.D.
Practice Address 1225 Florida Ave S Ste D
Rockledge
FL 32955-2473
Practice Telephone 3216319988
Practice Fax Number 3215760242
Mailing Telephone 3216319988
Mailing Fax Number 3215760242
Enumeration Date 2006-10-11
Last Update Date 2012-02-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
ME 47850 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL 048430000 05

Office Location

Street Address 1225 FLORIDA AVE S STE D
City ROCKLEDGE
State FL
Zip Code 32955-2473

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225646763 Pfk513 LLC Clinic/Center 4854 Pinot St, Rockledge, FL 32955-5162 2020-07-21
1396274411 Right Medical Care Clinic/Center 835 Executive Ln Ste 110, Rockledge, FL 32955-8068 2017-06-12
1811246481 Healthy Living Clinic, LLC Clinic/Center 1300 Florida Ave S, Rockledge, FL 32955-2482 2012-08-29
1548547524 Florida Pediatrics Pa Clinic/Center 980 Brevard Ave, Rockledge, FL 32955-2141 2011-11-04

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Competitor

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City ROCKLEDGE
Zip Code 32955

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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