Individual
MS. EBONY S PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRACTITIONER
Contact information
Practice address
3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
(904) 846-2160
Mailing address
3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
1307683
FL
1744P3200X
Prosthetics Case Management
Primary
AEC-17-05264
NY
Other
Enumeration date
10/24/2018
Last updated
11/02/2023
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