# EBM INTERNAL MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477684108
- **Authorized official:** ERNST BERTHONY MICHEL M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (904) 674-2699

## Contact information

- **Practice address:** 5851 TIMUQUANA RD, SUITE 303, JACKSONVILLE, FL 32210-7878
- **Practice address phone:** (904) 674-2699
- **Practice address fax:** (904) 674-6710
- **Mailing address:** 5851 TIMUQUANA RD, SUITE 303, JACKSONVILLE, FL 32210-7878
- **Mailing address phone:** (904) 674-2699
- **Mailing address fax:** (904) 674-6710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME95409 | FL | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 09/08/2011