Individual
JEREMY GALLEGO ECKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4651 SHERIDAN ST, SUITE 350, HOLLYWOOD, FL 33021-3457
(954) 966-8559
(954) 966-9762
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME101793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000225200
—
FL
Enumeration date
01/29/2008
Last updated
01/26/2022
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