Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Traci-Lyn Eisenberg, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053607630

Dr. Traci-Lyn Eisenberg, DO is a Student in an Organized Health Care Education/Training Program in Davie, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-4100
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS12703 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053607630
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESJanuary 10, 2017
Mailing address3200 S University Dr, Davie, FL 33328-2018

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