# EBANKS MEDICAL PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ebanks Medical Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245094168
- **Authorized official:** MRS. SHARON JENNIFER EBANKS APRN (MANAGING DIRECTOR)
- **Authorized official phone:** (407) 376-3375

## Contact information

- **Practice address:** 6209 W ROBINSON ST, ORLANDO, FL 32835-1361
- **Practice address phone:** (407) 376-3375
- **Mailing address:** 6209 W ROBINSON ST, ORLANDO, FL 32835-1361
- **Mailing address phone:** (407) 376-3375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2024
- **Last updated:** 02/12/2024