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NPI Code Detail

MEDICARE: DR. SARA ROSE EISELER M.D.

MEDICARE: DR. SARA ROSE EISELER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME123060FL
2208M00000XHospitalist PhysicianMD.42717AL
3207R00000XInternal Medicine PhysicianMD.42717AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851653539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA ROSE EISELER M.D.
Provider Business Mailing Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-585-1111
Fax Number :
Provider Business Practice Location Address
First Line : 7812 CORAL WAY
Second Line :
City : MIAMI
State : FL
Zip : 33155-6523
Country : US
Telephone Number : 305-703-3710
Fax Number : 305-705-3668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2012
Last Update Date : 07/23/2025

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