| Doctor Name: | KELLY A ECKERT |
| NPI Number: | 1124162524 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9223450 |
| Business Practice Address: | 260 Wekiva Springs Rd Longwood, FL - 327795947 |
| Business Phone Number: | 4078655909 |
| Business Fax Number: | 4074457552 |
| Mailing Address: | 260 Wekiva Springs Rd, LONGWOOD |
| State: | FL |
| Postal Code: | 327795947 |
| Phone Number: | 4078655909 |
| Fax Number: | 4074457552 |
| NPI Enumeration Date: | 02/18/2007 |
| NPI Last Update Date: | 06/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9223450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |