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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EHRENTRAUD JOHANNA EICHELBAUM, M.D.

Active Sole Proprietor

EHRENTRAUD JOHANNA EICHELBAUM, M.D. is a General Practice healthcare provider located in BUSHNELL, Florida. NPI 1255518486 is currently active in the NPPES registry. Verify at CMS.

General Practice · BUSHNELL, FL

Registration Details

NPI Number
1255518486
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2008 (18.49965064001 yrs)
Last Updated
Jun 5, 2019
Licenses
238000185 (IL)
18573 (PR)
ME140028 (FL)
Sole Proprietor
Yes

Practice Information

Address
212 S FLORIDA ST
BUSHNELL, FL, 335136703
Browse FL providers · Browse ZIP 33513
Phone
3527932441
Fax
3527933282
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Additional Specialty
General Practice

Other General Practice Providers in BUSHNELL, FL

Name Credential NPI
DR. ANGEL GABRIEL PAGAN M. D. 1063414381
CARLOS ENRIQUE CARRANZA M.D. 1689777955
DANIEL D DSTTEFFANO MD 1740531011
DR. BRENDALIS DAVILA ROLON M.D. 1538531975
DR. KATTIA BLANCO MD 1366140873
MUHAMMAD ALI TOOR MD 1699570473
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.