Healthcare Provider Details

I. General information

NPI: 1275496697
Provider Name (Legal Business Name): JANELLE ECKMAN BD, PPD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 WILLOWBROOK LN
LONGWOOD FL
32779-2620
US

IV. Provider business mailing address

432 WILLOWBROOK LN
LONGWOOD FL
32779-2620
US

V. Phone/Fax

Practice location:
  • Phone: 407-603-2460
  • Fax:
Mailing address:
  • Phone: 407-603-2460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: