Healthcare Provider Details

I. General information

NPI: 1720093552
Provider Name (Legal Business Name): PAULA ANDREA ECKARDT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5647 HOLLYWOOD BLVD
HOLLYWOOD FL
33021-6325
US

IV. Provider business mailing address

2900 CORPORATE WAY DOOR D
MIRAMAR FL
33025-3925
US

V. Phone/Fax

Practice location:
  • Phone: 954-276-1616
  • Fax: 954-985-0186
Mailing address:
  • Phone: 954-276-5603
  • Fax: 954-985-7073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME89282
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME89282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: