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Jerrold Ecklind Do Pa
Medical Specialty Clinic/Center in Ormond Beach, Florida
NPI 1548429590

Jerrold Ecklind Do Pa is a Medical Specialty Clinic/Center based in Ormond Beach, FL and is specialized in Medical Specialty. Jerrold Ecklind Do Pa practices in Ormond Beach, FL. The NPI Number for Jerrold Ecklind Do Pa is 1548429590 and holds a License No. OS7663 (Florida).

The current practice location address for Jerrold Ecklind Do Pa is 555 W Granada Blvd, Ormond Beach, FL and can be reached out via phone at 386-615-8300 and via fax at 386-677-1818.

Location: 555 W Granada Blvd, Ormond Beach, FL, 32174-9485
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548429590
Provider Name
Jerrold Ecklind Do Pa
Credential
Provider Entity Type
Organization
Address
555 W Granada Blvd, Ormond Beach, FL, 32174-9485
Phone Number
386-615-8300
Fax Number
386-677-1818
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851390322 01 FL NPI
49221 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
555 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174-9485
Phone Number
386-615-8300
Fax Number
386-677-1818
person
Provider Business Mailing Address Details
Address
555 W Granada Blvd
City
Ormond Beach
State
Florida
Zip
32174-9485
Phone Number
386-615-8300
Fax Number
386-677-1818
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
OS7663 (Florida)
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 public health needs (e.g., infectious diseases or breast and cervical cancer).
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