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NPI Code Detail

MEDICARE: DARLENE MARIE ECKERT M.D.

MEDICARE:   DARLENE MARIE ECKERT  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME91201FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003815143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE MARIE ECKERT M.D.
Provider Business Mailing Address
First Line : 14065 TOWN LOOP BLVD
Second Line : SUITE 300
City : ORLANDO
State : FL
Zip : 32837-6199
Country : US
Telephone Number : 407-240-5554
Fax Number : 407-240-5543
Provider Business Practice Location Address
First Line : 14065 TOWN LOOP BLVD
Second Line : SUITE 300
City : ORLANDO
State : FL
Zip : 32837-6199
Country : US
Telephone Number : 407-240-5554
Fax Number : 407-240-5543
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/17/2009

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Directions to “ DARLENE MARIE ECKERT M.D.” Practice Location

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