JERROLD ECKLIND DO PA
NPI 1548429590
Clinic/Center - Medical Specialty in Ormond Beach, FL

Q: What is Jerrold Ecklind Do PA's NPI number?

The NPI number for Jerrold Ecklind Do PA is 1548429590. It was assigned to this organization in the NPPES registry on June 5, 2008.

Q: What is Jerrold Ecklind Do PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since June 05, 2008

555 W GRANADA BLVD, SUITE D-2, ORMOND BEACH, FL 32174(386) 615-8300(386) 677-1818 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerrold Ecklind Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERROLD ECKLIND DO PA (NPI 1548429590) is a healthcare organization registered as a medical specialty in Ormond Beach, Florida and active in the NPI registry since June 2008. The organization lists Jerrold Randall Ecklinds, President, as its authorized official.

NPPES Registry Identity

NPI1548429590

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJERROLD ECKLIND DO PA

Location Address555 W GRANADA BLVD, SUITE D-2Ormond Beach, FL 32174-9485

Mailing Address555 W Granada Blvd, Suite D-2Ormond Beach, FL 32174-9485 · (386) 615-8300 · Fax (386) 677-1818

Phone(386) 615-8300

Fax(386) 677-1818

Organization SubpartNo

Authorized OfficialJerrold Randall EcklindsPresident · (386) 615-8300

Enumeration DateJune 5, 2008

Last NPPES UpdateJune 27, 2008

✔ NPI 1548429590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in FL · OS7663

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

555 W GRANADA BLVD, Ormond Beach, FL 32174

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Other Identifiers 4

Other1851390322FL · Npi

Medicare UPING79491FL

Other49221FL · Blue Cross Blue Shield

Medicare PINE1206FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS SANDRA FUHRMANN L.M.T.

Specialist

555 W GRANADA BLVD, SUITE G6
ORMOND BEACH, FL 32174

Flagler County (386) 677-7123

CAMILA FLORENCIA RAFFAELLINO RBT

Behavior Technician

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (386) 254-8788

AURORA JOY FORD LMT

Mechanotherapist

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (138) 667-7712

THE FORD GROUP, LMT

Legal Medicine

555 W GRANADA BLVD, SUITE G6
ORMOND BEACH, FL 32174

Flagler County (386) 677-7123

MS. NATALIE ELIZABETH FRANKLIN L.M.T

Specialist

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (386) 677-7123

ANDREW DEVRIES

Behavior Analyst

555 W GRANADA BLVD
ORMOND BEACH, FL 32174

Flagler County (386) 677-8880

MR. PATRICK PAUL BRODNIK MA, MS, PHD(C), LMHC

Counselor (Mental Health)

555 W GRANADA BLVD, SUITE B-12
ORMOND BEACH, FL 32174

Flagler County (386) 290-8296

DR. PENELOPE L NORTON PH.D.

Psychologist (Clinical)

555 W GRANADA BLVD, STE. E3
ORMOND BEACH, FL 32174

Flagler County (386) 676-5420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrold Ecklind Do PA's NPI number?

The NPI number for Jerrold Ecklind Do PA is 1548429590. It was assigned to this organization in the NPPES registry on June 5, 2008.

Where is Jerrold Ecklind Do PA located?

Jerrold Ecklind Do PA is located at 555 W Granada Blvd Suite D-2, Ormond Beach, FL 32174. The listed phone number is (386) 615-8300.

What is Jerrold Ecklind Do PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jerrold Ecklind Do PA was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.