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DR. JENIFER EIMMERMAN D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184697062

Individual Registrant:
DR. JENIFER  EIMMERMAN D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1815 GRIFFIN RD STE 204  DANIA BEACH, FL 33004-2252 US
Tel: 954-624-7900  Fax: --

Contact information for business:
6400 SHAFER CT STE 700  ROSEMONT, IL 60018-4989 US
Tel: 346-376-1702  Fax: --

Registration Information:
NPI: 1184697062
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLOS8792
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A11323
Y207QH0002XAllopathic & Osteopathic Physicians
Family Medicine
FLOS8792

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE SUPPLIER NUMBERU6143AFL01
STATE LICENSE20A11323CA01
FLORIDA STATE LICENSEOS879201




HEALTH CARE JOBS FL - Page 1



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