Female

Rebecka D. Ewbank PA-C

Physician Assistant in Sanford, FL(View on Map)

Full Name

Rebecka D Ewbank PA-C

NPI Number

1629246681

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/13/2008

Specialties

(Taxonomies)

Code

363A00000X
2255A2300X
363AM0700X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida
Florida

License Number

PA9107947
AL1906

Contact
Information

Purpose

Mailing
Location

Address

2501 N ORANGE AVE STE 401
305 N MANGOUSTINE AVE STE 100

City

Orlando
Sanford

State

FL
FL

Postal Code

32804-4644
32771-1004

Country

US
US

Telephone Number

N/A
(407) 323-7821

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

Data last updated by provider on 12/07/2023

Provider Address

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