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NPI Code Detail

MEDICARE: ERIC D ECLAR PT, DPT

MEDICARE:   ERIC D ECLAR  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT28816FL

General Provider Information

NPI Number : 1336570639
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC D ECLAR PT, DPT
Provider Business Mailing Address
First Line : 11543 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11543 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5001
Country : US
Telephone Number : 407-380-0357
Fax Number : 407-380-0342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2013
Last Update Date : 12/11/2013

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Directions to “ ERIC D ECLAR PT, DPT” Practice Location

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