Provider Demographics
NPI:1437319654
Name:SOUTH FLORIDA INSTITUTE FOR REPRODUCTIVE MEDICINE
Entity Type:Organization
Organization Name:SOUTH FLORIDA INSTITUTE FOR REPRODUCTIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUERGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EISERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-662-7901
Mailing Address - Street 1:7300 SW 62ND PL
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4806
Mailing Address - Country:US
Mailing Address - Phone:305-662-7901
Mailing Address - Fax:305-662-7910
Practice Address - Street 1:7300 SW 62ND PL
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4806
Practice Address - Country:US
Practice Address - Phone:305-662-7901
Practice Address - Fax:305-662-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty