Healthcare Provider Details

I. General information

NPI: 1790728954
Provider Name (Legal Business Name): DAMIAN E EKER DNP, GNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 E COMMERCIAL BLVD STE 3
FORT LAUDERDALE FL
33308-3747
US

IV. Provider business mailing address

12625 NW 76TH ST
PARKLAND FL
33076-4227
US

V. Phone/Fax

Practice location:
  • Phone: 954-650-7666
  • Fax: 954-281-5408
Mailing address:
  • Phone: 954-650-7666
  • Fax: 954-281-5408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberARNP9190058
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number9190058
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP9190058
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: