| Evlyn Eickhoff, M.D., PLLC. | |
|
12515 Orange Dr Ste 804 Davie FL 33330-4309 | |
| (505) 392-1500 | |
| (844) 670-3932 |
| Full Name | Evlyn Eickhoff, M.D., PLLC. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12515 Orange Dr Ste 804, Davie, Florida |
| Authorized Official Name and Position | Evlyn Eickhoff (MANAGER/ OWNER) |
| Authorized Official Contact | 5053921500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evlyn Eickhoff, M.D., PLLC. 11300 Nw 22nd St Plantation FL 33323-2023 Ph: (505) 392-1500 | Evlyn Eickhoff, M.D., PLLC. 12515 Orange Dr Ste 804 Davie FL 33330-4309 Ph: (505) 392-1500 |
| NPI Number | 1649164864 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Medicare PECOS PAC ID | 9537644323 |
|---|---|
| Medicare Enrollment ID | O20260330002984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649164864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Evlyn Eickhoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710417308 PECOS PAC ID: 0143594051 Enrollment ID: I20241007004069 |
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