MEDICARE: EKO LABS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1835P1400X	Pain Management Pharmacist
2	207LP2900X	Pain Medicine (Anesthesiology) Physician
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
4	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician
5	163WP0000X	Pain Management Registered Nurse

General Provider Information

NPI Number	:	1619827268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EKO LABS INC

Provider Business Mailing Address
First Line	:	3900 NW 115TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7264
Country	:	US
Telephone Number	:	408-748-4101
Fax Number	:	833-380-1599

Provider Business Practice Location Address
First Line	:	3900 NW 115TH AVE
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-7264
Country	:	US
Telephone Number	:	408-748-4101
Fax Number	:	833-380-1599

Authorized Official
Title or Position	:	CEOO
Name	:	ROBIN GIBBS
Credential	:
Telephone Number	:	408-748-4101

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “EKO LABS INC ” Practice Location

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