1. Home
  2. Directory
  3. Florida
  4. Melbourne
  5. Emergency Medicine
  6. NPI Profile

DEREK LEE EISNOR MD PA
NPI 1508002544
Emergency Medicine - Emergency Medical Services in Melbourne, FL

Active since December 22, 2008
2080 W EAU GALLIE BLVD, MELBOURNE, FL 32935(321) 254-6218(321) 254-6230 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Lee Eisnor Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK LEE EISNOR MD PA (NPI 1508002544) is a healthcare organization registered as an emergency medical services in Melbourne, Florida and active in the NPI registry since December 2008. The organization lists Derek Lee Eisnor, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1508002544
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameDEREK LEE EISNOR MD PA
Location Address2080 W EAU GALLIE BLVDMelbourne, FL 32935-3185
Mailing Address2080 W Eau Gallie BlvdMelbourne, FL 32935-3185 · (321) 254-6218 · Fax (321) 254-6230
Phone(321) 254-6218
Fax(321) 254-6230
Organization SubpartNo
Authorized OfficialDerek Lee EisnorOwner/president · (321) 254-6218
Enumeration DateDecember 22, 2008
✔ NPI 1508002544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in FL · ME74231
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
2080 W EAU GALLIE BLVD, Melbourne, FL 32935
Open in Google Maps ↗

Other Identifiers 2

Medicaid255900500FL
Medicare PIN44898FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINAY K MEHINDRU M.D.
Emergency Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
JAYME M PETERSON PAC
Physician Assistant
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
NICOLE F TAFT PA-C
Physician Assistant
2080 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 254-6218
BREVARD EMERGENCY SERVICES
Internal Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
PEGGY FREDERIQUE-BELL PAC
Physician Assistant
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
CARISSA MARIE HARDIN OTR/L
Occupational Therapist
2080 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (407) 694-3603
SPACE COAST HEALTH CARE SERVICES
Internal Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
ATLANTIC MEDICAL ASSOCIATES LLC
Internal Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Lee Eisnor MD PA's NPI number?

The NPI number for Derek Lee Eisnor MD PA is 1508002544. It was assigned to this organization in the NPPES registry on December 22, 2008.

Where is Derek Lee Eisnor MD PA located?

Derek Lee Eisnor MD PA is located at 2080 W Eau Gallie Blvd, Melbourne, FL 32935. The listed phone number is (321) 254-6218.

What is Derek Lee Eisnor MD PA's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Derek Lee Eisnor MD PA was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.