Provider Demographics
NPI:1821012428
Name:ECKENRODE, LINDA COX (ARNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:COX
Last Name:ECKENRODE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:JEAN COX
Other - Last Name:EBBELING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:UF HEALTH DEPT OF PEDIATRIC IMMUNOLOGY
Mailing Address - Street 2:1600 SW ARCHER RD. PO BOX 100296
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0001
Mailing Address - Country:US
Mailing Address - Phone:352-294-5252
Mailing Address - Fax:352-294-8068
Practice Address - Street 1:UF DEPT OF PEDIATRIC IMMUNOLOGY RHEUMATOLOGY
Practice Address - Street 2:1600 SW ARCHER RD. HD-407
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0001
Practice Address - Country:US
Practice Address - Phone:352-294-5252
Practice Address - Fax:352-294-5248
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1647172363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300841000Medicaid
FL300841000Medicaid
FLY8601ZMedicare ID - Type Unspecified