Jerrold Ecklind Do PA
Jerrold Ecklind Do PA is a healthcare organization registered as Medical Specialty Clinic/Center in Ormond Beach, FL, holding Type 2 (organization) NPI 1548429590 since 2008. The authorized official on file is Jerrold Ecklinds, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548429590 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jerrold Ecklind Do PA |
| Practice address | 555 W GRANADA BLVD, SUITE D-2, Ormond Beach, FL, 32174 |
| Phone | 3866158300 |
| Fax | 3866771818 |
| Enumeration date | 2008-06-05 |
| Last updated in NPPES | 2008-06-27 |
Authorized official
| Name | Jerrold Ecklinds |
|---|---|
| Title | President |
| Phone | 3866158300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM2500X | Medical Specialty Clinic/Center | Primary | OS7663 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851390322 | Other | FL | NPI |
| 49221 | Other | FL | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Jerrold Ecklind Do PA NPI: 1548429590 Taxonomy: 261QM2500X (Medical Specialty Clinic/Center) Address: 555 W GRANADA BLVD, SUITE D-2, Ormond Beach, FL, 32174
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720053515 | Stand-Up Mri & Diagnostic Center Inc | Organization | Diagnostic Radiology Physician | Ormond Beach, FL |
| 1629183280 | Carol Halal | Individual | Mental Health Counselor | Ormond Beach, FL |
| 1619072790 | Matthew Fentress | Individual | Chiropractor | Ormond Beach, FL |
| 1811100514 | Bruce Manne | Individual | Endodontics | Ormond Beach, FL |
| 1457566358 | Donald Hermann | Individual | Dentist | Ormond Beach, FL |
| 1275740227 | Penelope Norton | Individual | Clinical Psychologist | Ormond Beach, FL |
| 1003024506 | Sandra Fuhrmann | Individual | Specialist | Ormond Beach, FL |
| 1114135449 | Natalie Franklin | Individual | Specialist | Ormond Beach, FL |
Verify this record
Cross-check NPI 1548429590 against the authoritative CMS record: view Jerrold Ecklind Do PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Jerrold Ecklind Do PA located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-06-27.