Provider Demographics
NPI:1497714620
Name:GINSBURG, EILEEN (ARNP)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5141 PELICAN COVE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-1691
Mailing Address - Country:US
Mailing Address - Phone:561-596-5622
Mailing Address - Fax:
Practice Address - Street 1:505 SE 6TH AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4921
Practice Address - Country:US
Practice Address - Phone:561-736-8806
Practice Address - Fax:561-736-3384
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9200378363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU21772ZMedicare ID - Type Unspecified
FLS63450Medicare UPIN