Jerrold Ecklind Do PA
NPI #1548429590 in Ormond Beach, Florida
Provider Information
- NPI Number
- 1548429590
- Entity Type
- Organization
- Organization Name
- Jerrold Ecklind Do PA
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jun 5, 2008
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 555 W GRANADA BLVD
- Address 2
- SUITE D-2
- City
- Ormond Beach
- State
- Florida
- ZIP Code
- 32174-9485
- Phone
- (386) 615-8300
Authorized Official
- Name
- DR. JERROLD RANDALL ECKLINDS, D.O.
- Title
- PRESIDENT
- Phone
- (386) 615-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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