Ebersole, Carol Johnson

Ebersole, Carol Johnson is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Ebersole, Carol Johnson can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME55491 Florida

Profile Details

NPI number 1770555641
LBN Legal business name Ebersole, Carol Johnson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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