Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK SAMUEL EICHENBAUM, M.D.
Active Sole ProprietorDR. MARK SAMUEL EICHENBAUM, M.D. is a Gastroenterology healthcare provider located in SAINT PETERSBURG, Florida. NPI 1871764977 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · SAINT PETERSBURG, FL
Registration Details
- NPI Number
- 1871764977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2008 (18.443344338615 yrs)
- Last Updated
- Feb 29, 2012
- License
-
ME 100677 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4320 CENTRAL AVESAINT PETERSBURG, FL, 337111141Browse FL providers · Browse ZIP 33711
- Phone
- 7273453621
- Fax
- 7273814934
- Primary Specialty
-
Gastroenterology
207RG0300X
Other Gastroenterology Providers in SAINT PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| VIJAYA L CHERUKURI | M.D. | 1750375267 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.