Individual
DR. JESSIKA EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462
(860) 598-0748
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 548-1750
(561) 548-1755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME135072
FL
208M00000X
Hospitalist Physician
036.149857
IL
208M00000X
Hospitalist Physician
Primary
ME135072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036149857
MEDICAL LICENSE
IL
Enumeration date
03/28/2015
Last updated
09/11/2019
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