Provider Demographics
NPI:1790728954
Name:EKER, DAMIAN E (DNP, GNP)
Entity Type:Individual
Prefix:DR
First Name:DAMIAN
Middle Name:E
Last Name:EKER
Suffix:
Gender:M
Credentials:DNP, GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12625 NW 76TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4227
Mailing Address - Country:US
Mailing Address - Phone:954-650-7666
Mailing Address - Fax:954-281-5408
Practice Address - Street 1:1880 E COMMERCIAL BLVD STE 3
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3747
Practice Address - Country:US
Practice Address - Phone:954-650-7666
Practice Address - Fax:954-281-5408
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9190058163WG0600X, 363LG0600X
FL9190058363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL$$$$$$$$$OtherTAX ID NUMBER/SOCIAL SECURITY NUMBER
FLP00347889Medicare PIN
FLU8285ZOtherMEDICARE ID