Eckert, Jordan William

Eckert, Jordan William is an individual health care provider with primary practice located at 567 Avenue K Se , Winter Haven FL 33880-4215. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Eckert, Jordan William can be contacted via phone (863) 299-1231.

Contact Information

Primary practice address
567 Avenue K Se Winter Haven FL 33880-4215
Phone: (863) 299-1231
Fax: (863) 299-1233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME72650 Florida
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X ME72650 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME72650 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME72650 Florida

Profile Details

NPI number 1790714244
LBN Legal business name Eckert, Jordan William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 8th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790714244 NPPES
Florida MEDICAID 251452400

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