Female

Ms. Laura A. Ebener PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Ms. Laura Anne Ebener PA-C

NPI Number

1457332686

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/05/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9101656

Contact
Information

Purpose

Mailing
Location

Address

4500 SAN PABLO RD S
4500 SAN PABLO RD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1865
32224-1865

Country

US
US

Telephone Number

(904) 953-2000
(904) 953-2000

Identifiers

Identifier

P00161916

Identifier State

FL

Identifier Issuer

RAILROAD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

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