Mid Florida Physicians Group Inc.
NPI 1629565932ActiveOrganization· Family Medicine· Wildwood, FL
Family Medicine in Wildwood, Florida, registered in NPPES in April 2018. The authorized official on file is Jerrold Randall Ecklind, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629565932 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2018 |
| Last updated in NPPES | Jun 28, 2023 |
| Certified by provider | Jun 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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