MEDICARE: LINDA COX ECKENRODE ARNP

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
1	363L00000X	Nurse Practitioner	ARNP1647172	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1821012428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA COX ECKENRODE ARNP

Provider Business Mailing Address
First Line	:	UF HEALTH DEPT OF PEDIATRIC IMMUNOLOGY
Second Line	:	1600 SW ARCHER RD. PO BOX 100296
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0001
Country	:	US
Telephone Number	:	352-294-5252
Fax Number	:	352-294-8068

Provider Business Practice Location Address
First Line	:	UF DEPT OF PEDIATRIC IMMUNOLOGY RHEUMATOLOGY
Second Line	:	1600 SW ARCHER RD. HD-407
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0001
Country	:	US
Telephone Number	:	352-294-5252
Fax Number	:	352-294-5248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	02/23/2015

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