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Export Provider Record NPI 1265671549
Harry W Eichenbaum Md Pa
Organization Subpart: NO
Active
NPI Number1265671549
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Geriatric Medicine
Provider Details
NPI1265671549
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-02-11
Last Updated2012-03-01
Authorized OfficialMark Eichenbaum
President
Phone: 7273453621
Mailing Address4320 Central Ave
Saint Petersburg, FL 33711-1141
United States
Phone: (727) 345-3621 | Fax: (727) 381-4934
📍 View Map
Primary Practice Address4320 Central Ave
St Petersburg, FL 33711-1141
United States
Phone: (727) 345-3621 | Fax: (727) 381-4934
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RG0300X – Internal Medicine, Geriatric MedicineFLMES 100677
Export Provider Record NPI 1265671549
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About NPI 1265671549

Harry W Eichenbaum Md Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1265671549. The primary specialty listed is Internal Medicine, Geriatric Medicine. The organization is located in St Petersburg, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-02-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265671549?

NPI 1265671549 belongs to Harry W Eichenbaum Md Pa, a Internal Medicine, Geriatric Medicine in St Petersburg, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265671549 active?

The current status of NPI 1265671549 in the NPPES registry is Active. The record was last updated on 2012-03-01.

What specialty is NPI 1265671549?

NPI 1265671549 is classified under the taxonomy Internal Medicine, Geriatric Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265671549?

You can verify NPI 1265671549 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265671549?

The primary practice address on file for NPI 1265671549 is 4320 Central Ave, St Petersburg, FL 33711-1141. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265671549 issued?

NPI 1265671549 was first issued (enumerated) on 2009-02-11. The NPPES record was last updated on 2012-03-01.

Practice Location Map

Harry W Eichenbaum Md Pa is located at 4320 Central Ave, St Petersburg, FL. Use the map below to find directions or verify the practice location.

📍 4320 Central Ave, St Petersburg, FL 33711-1141  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Harry W Eichenbaum Md Pa. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1265671549. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Geriatric MedicineMES 100677FL
Data Verified from CMS NPPES Last synced: 2026-07-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162