Jerrold Ecklind Do Pa

LBN: Jerrold Ecklind Do Pa
Jerrold Ecklind Do Pa is an health care organization with primary practice located at 555 W Granada Blvd Suite D-2, Ormond Beach FL 32174-9485. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Jerrold Ecklind Do Pa can be contacted via phone (386) 615-8300, or through Ecklinds, Jerrold Randall via phone (386) 615-8300.

Contact Information

Primary practice address
555 W Granada Blvd Suite D-2 Ormond Beach FL 32174-9485
Phone: (386) 615-8300
Fax: (386) 677-1818
Website:
Map and Directions
Authorized official contact:
Name: Ecklinds, Jerrold Randall Doctor of Osteopathy (DO)
Phone: (386) 615-8300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X OS7663 Florida

Profile Details

NPI number 1548429590
LBN Legal business name Jerrold Ecklind Do Pa
DBA Doing business as
Authorized official Ecklinds, Jerrold Randall Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 27th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548429590 NPPES
Florida Other 1851390322 NPI
Florida Other 49221 NPI

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