Individual
EBONY PATRICE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3543 LITTLE RD, TRINITY, FL 34655-1814
(727) 848-6400
Mailing address
10322 VENITIA REAL AVE APT 11A-302, TAMPA, FL 33647-4028
(305) 710-4723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11012688
FL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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