Individual
MRS. KEITHLYN C ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4712 SW 185TH AVE # A, MIRAMAR, FL 33029-6226
(305) 762-2103
Mailing address
4712 SW 185TH AVE # A, MIRAMAR, FL 33029-6226
(305) 762-2103
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
928-896
FL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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