Individual
JORDAN WILLIAM ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
567 AVENUE K SE, WINTER HAVEN, FL 33880-4215
(863) 299-1231
(863) 299-1233
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME72650
FL
208600000X
Surgery Physician
ME72650
FL
2086S0102X
Surgical Critical Care Physician
ME72650
FL
246ZC0007X
Surgical Assistant
ME72650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251452400
—
FL
Enumeration date
06/30/2006
Last updated
03/08/2024
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