# EVLYN EICKHOFF, M.D., PLLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649164864
- **Authorized official:** EVLYN EICKHOFF MD (MANAGER/ OWNER)
- **Authorized official phone:** (505) 392-1500

## Contact information

- **Practice address:** 12515 ORANGE DR STE 804, DAVIE, FL 33330-4309
- **Practice address phone:** (505) 392-1500
- **Practice address fax:** (844) 670-3932
- **Mailing address:** 11300 NW 22ND ST, PLANTATION, FL 33323-2023
- **Mailing address phone:** (505) 392-1500
- **Mailing address fax:** (844) 670-3932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2025
- **Last updated:** 08/19/2025