Healthcare Provider Details

I. General information

NPI: 1316865868
Provider Name (Legal Business Name): ALYSON ECK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 SUN CITY CENTER PLZ
SUN CITY CENTER FL
33573-5303
US

IV. Provider business mailing address

4301 52ND AVE S
ST PETERSBURG FL
33711-4693
US

V. Phone/Fax

Practice location:
  • Phone: 813-230-3022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11045368
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: