Jerrold Ecklind Do Pa in Ormond Beach - Medical Specialty
Jerrold Ecklind Do Pa - NPI 1548429590
Jerrold Ecklind Do Pa is a Medical Specialty in Ormond Beach, Florida. Jerrold Ecklind Do Pa practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Jerrold Ecklind Do Pa is 1548429590. The last update date is 2008-06-27.
Jerrold Ecklind Do Pa's current location address is 555 W Granada Blvd, Ormond Beach, Florida. You can contact this provider via phone number 3866158300 and fax number 3866771818. The mailing address for Jerrold Ecklind Do Pa is 555 W Granada Blvd, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerrold Ecklind Do Pa |
|---|---|
| Address | 555 W Granada Blvd, Ormond Beach, Florida |
| Phone Number | 3866158300 |
| Fax Number | 3866771818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ecklinds Randall Jerrold |
| Credentials | D.O. |
| Telephone Number | 3866158300 |
NPI Number Detail
| NPI Number | 1548429590 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2008-06-27 |
Provider Mailing Address Detail
| Address | 555 W Granada Blvd |
|---|---|
| City | Ormond Beach |
| State | Florida (FL) |
| Post Code | 321749485 |
| Phone Number | 3866158300 |
| Fax Number | 3866771818 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | OS7663 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1851390322 | FL | NPI | |
| 49221 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerrold Ecklind Do Pa by the Centers for Medicare & Medicaid Services?
The Jerrold Ecklind Do Pa has been issued the NPI (National Provider Identifier) 1548429590 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jerrold Ecklind Do Pa located?
The Jerrold Ecklind Do Pa is located at 555 W Granada Blvd, Ormond Beach, FL 321749485.
What is Jerrold Ecklind Do Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerrold Ecklind Do Pa's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
When did Jerrold Ecklind Do Pa receive its 1548429590 assignment?
The Jerrold Ecklind Do Pa was assigned its 1548429590 on 2008-06-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jerrold Ecklind Do Pa most recently updated or revised?
The information pertaining to Jerrold Ecklind Do Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-27.
NPI Number: 1700880325
Address: 10011 Euclid Avenue, Cleveland, OH
NPI Number: 1124025705
Address: 452 Delaware Ave, Buffalo, NY
NPI Number: 1447259254
Address: 230 Fern Park Blvd, Fern Park, FL