Individual
EDDY L ECHOLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 E BRANDON BLVD, SUITE 101, BRANDON, FL 33511-5222
(813) 978-9700
(813) 558-6148
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME89159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268559100
—
FL
01
—
291630
AVMED
FL
01
—
37337
BC/BS
FL
01
—
7521799
AETNA
FL
01
—
8781424
CIGNA
FL
01
—
P00341196
RAILROAD MEDICARE
FL
Enumeration date
02/21/2006
Last updated
01/27/2020
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