Individual
ELEANOR GRACE EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(888) 663-3488
Mailing address
3006 W ESTRELLA ST APT 3, TAMPA, FL 33629-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9120202
FL
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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