Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Samuel Eichenbaum, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1871764977

Dr. Mark Samuel Eichenbaum, MD is an Internal Medicine in Saint Petersburg, Florida. Graduated from New York University School of Medicine in 2004, 22 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
22
Trained at
New York University School of Medicine
Licensed in
FL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4320 Central Ave
Saint Petersburg, FL 33711-1141
Phone: (727) 345-3621
Fax: (727) 381-4934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence ME 100677 (FL)

Record details

NPI number1871764977
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 17, 2008
Last updated in NPPESFebruary 29, 2012
Mailing address4320 Central Ave, Saint Petersburg, FL 33711-1141

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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