Individual
DR. ALIREZA EBNESHAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 POND CT STE 301-302, DEBARY, FL 32713-2709
(386) 259-4258
Mailing address
110 POND CT STE 301-302, DEBARY, FL 32713-2709
(386) 259-4258
(877) 569-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME154418
FL
207Q00000X
Family Medicine Physician
R1019
TX
Other
Enumeration date
09/30/2013
Last updated
07/21/2025
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