Basic Information
| Provider Information | |||||||||
| NPI: | 1497734669 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EIERLE | ||||||||
| FirstName: | CARL | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 S PINE ISLAND RD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544736344 | ||||||||
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| Practice Location | |||||||||
| Address1: | 600 S PINE ISLAND RD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333243166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544736344 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2006 | ||||||||
| LastUpdateDate: | 03/31/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0114X | ME117953 | FL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 207X00000X | 223917 | MA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.