Healthcare Provider Details

I. General information

NPI: 1154334803
Provider Name (Legal Business Name): HOWARD A. ESKILDSEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 SE 165TH MULBERRY LN
THE VILLAGES FL
32162-5884
US

IV. Provider business mailing address

PO BOX 830415
OCALA FL
34483-0415
US

V. Phone/Fax

Practice location:
  • Phone: 352-674-5000
  • Fax: 352-674-5031
Mailing address:
  • Phone: 352-433-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME 86361
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: