DR. IRIS EISENBERG


Address: 11521 N Main St, Jacksonville, FL 32218-4002
Phone: 9047519491

DR. IRIS EISENBERG (NPI# 1326046350) 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) 1326046350
Entity Type Individual
Full Name DR. IRIS EISENBERG
Credential MD
Practice Address 11521 N Main St
Jacksonville
FL 32218-4002
Practice Telephone 9047519491
Practice Fax Number 9047519492
Mailing Telephone 9047519491
Mailing Fax Number 9047519492
Enumeration Date 2005-07-13
Last Update Date 2012-06-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
ME32409 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL DEA AE8026406 01

Office Location

Street Address 11521 N MAIN ST
City JACKSONVILLE
State FL
Zip Code 32218-4002

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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1841794682 W.b. Stewart Tigers Athletics Boosters Pediatrics 1658 Kings Rd, Jacksonville, FL 32209-6167 2018-03-19
1487755567 Charles Richardson Martin Pediatrics 2 Dewitt St, Jacksonville, NC 28540-5649 2006-09-25
1336252444 Charles B. Mcintosh Pediatrics 3160 Edgewood Ave W, Jacksonville, FL 32209-2245 2006-08-16
1922091156 Anne T Egan Pediatrics 2121 Park St, Jacksonville, FL 32204-3811 2005-08-23
1568856698 Afton Turner Pediatrics 4788 Hodges Blvd Ste B108, Jacksonville, FL 32224-7222 2015-03-26
1316385164 Rainbow Pediatric Center Pediatrics 4788 Hodges Blvd, Suite B-108, Jacksonville, FL 32224-7222 2013-06-13
1043456148 Rachna A Krish Pediatrics 13241 Bartram Park Blvd, Suite # 209, Jacksonville, FL 32258-5212 2008-12-20
1043346745 Jacksonville Pediatrics Pediatrics 2606 Park St, Jacksonville, FL 32204-4520 2007-02-26
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Competitor

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City JACKSONVILLE
Zip Code 32218

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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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