Individual
DR. GLORIED MARIE EBSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5304 S FLORIDA AVE STE 408, LAKELAND, FL 33813-2519
(863) 738-6601
(863) 937-3002
Mailing address
5304 S FLORIDA AVE STE 408, LAKELAND, FL 33813-2519
(863) 738-6601
(863) 937-3002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO 3550
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 3550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006315500
—
FL
Enumeration date
06/30/2009
Last updated
03/25/2026
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