Provider Demographics
NPI:1063860245
Name:EISENBERG, ALEXANDER JOSHUA (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JOSHUA
Last Name:EISENBERG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S MIAMI AVE UNIT 322A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1960
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 S MIAMI AVE UNIT 322A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1960
Practice Address - Country:US
Practice Address - Phone:833-334-6393
Practice Address - Fax:415-354-3430
Is Sole Proprietor?:No
Enumeration Date:2016-05-29
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL39235207Q00000X
FLOS16399207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine