Gallego Eckstein, Jeremy

Gallego Eckstein, Jeremy is an individual health care provider with primary practice located at 4651 Sheridan St Suite 350, Hollywood FL 33021-3457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gallego Eckstein, Jeremy can be contacted via phone (954) 966-8559.

Contact Information

Primary practice address
4651 Sheridan St Suite 350 Hollywood FL 33021-3457
Fax: (954) 966-9762
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME101793 Florida

Profile Details

NPI number 1669659926
LBN Legal business name Gallego Eckstein, Jeremy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Jan 26th, 2022 - about 3 years 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 1669659926 NPPES
Florida MEDICAID 000225200

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