Jerrold Randall Ecklind in Wildwood - Family Medicine
Jerrold Randall Ecklind - NPI 1851390322
Jerrold Randall Ecklind is a Family Medicine in Wildwood, Florida. Jerrold Randall Ecklind practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jerrold Randall Ecklind is 1851390322. The last update date is 2021-10-28.
Jerrold Randall Ecklind's current location address is 300 S Main St Ste 2, Wildwood, Florida. You can contact this provider via phone number 3526436699. The mailing address for Jerrold Randall Ecklind is 300 S Main St Ste 2, Wildwood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerrold Randall Ecklind |
|---|---|
| Address | 300 S Main St Ste 2, Wildwood, Florida |
| Phone Number | 3526436699 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1851390322 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2021-10-28 |
Provider Mailing Address Detail
| Address | 300 S Main St Ste 2 |
|---|---|
| City | Wildwood |
| State | Florida (FL) |
| Post Code | 347854542 |
| Phone Number | 3526436699 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS7663 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JM261 | FL | MEDICARE | |
| 17234800 | FL | -- |
Post Comment/ Review Below
What is the Jerrold Randall Ecklind's unique identification number?
The Jerrold Randall Ecklind has been assigned the NPI (National Provider Identifier) Number 1851390322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jerrold Randall Ecklind is geographically located?
The Jerrold Randall Ecklind is physically situated at the following location: 300 S Main St Ste 2, Wildwood, FL, 347854542.
What is Jerrold Randall Ecklind's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerrold Randall Ecklind is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When was the Jerrold Randall Ecklind's 1851390322 issued?
The Jerrold Randall Ecklind's 1851390322 was issued on 2005-07-18.
As of what date were the details pertaining to Jerrold Randall Ecklind last refreshed?
The information related to the Jerrold Randall Ecklind, including its address, specialty, and other relevant details, was last updated on 2021-10-28.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH