DEREK LEE EISNOR MD PA NPI 1508002544

NPI Information

  • NPI: 1508002544
  • Provider Name: DEREK LEE EISNOR MD PA
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Address: 2080 W EAU GALLIE BLVD
    MELBOURNE, FL
    ZIP 32935
  • Phone: (321) 254-6218

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NPI Details

DEREK LEE EISNOR MD PA is an emergency medical services emergency medicine in Melbourne, FL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DEREK LEE EISNOR MD PA NPI is 1508002544. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2080 W EAU GALLIE BLVD
MELBOURNE, FL
ZIP 32935-185
Phone: (321) 254-6218
Fax: (321) 254-6230

The provider's authorized official is Derek Lee Eisnor .
The authorized official title is Owner/president and has the following contact phone number (321) 254-6218.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 12/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesME74231FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1255900500MEDICAIDFLORIDA
244898MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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