Individual
MICHELE LYNN ECKBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 S HARBOR CITY BLVD STE 230, MELBOURNE, FL 32901-4789
(321) 216-2288
Mailing address
812 BANKS ST NW, PALM BAY, FL 32907-8263
(610) 563-0534
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11031951
FL
Other
Enumeration date
03/22/2024
Last updated
03/26/2024
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