DR. CARL EISDORFER MD NPI 1710991294

NPI Information

  • NPI: 1710991294
  • Provider Name: DR. CARL EISDORFER, MD
  • Classification: Psychiatry & Neurology - 2084P0805X
  • Specialization: Geriatric Psychiatry
  • Entity Type: Individual
  • Address: 1611 NW 12TH AVE
    BOX 016960 (M851)
    MIAMI, FL
    ZIP 33136
  • Phone: (305) 355-9105

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NPI Details

DR. Carl Eisdorfer, MD is a geriatric psychiatry psychiatry neurology in Miami, FL. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. DR. Carl Eisdorfer, MD NPI is 1710991294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1611 NW 12TH AVE
BOX 016960 (M851)
MIAMI, FL
ZIP 33136-005
Phone: (305) 355-9105

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/8/2007.

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
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryMFC841FLORIDAYes

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
1D64035MEDICARE UPINFLORIDA
296922MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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