Individual
EBONY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MEDICAL OAKS AVE, BRANDON, FL 33511-5961
(813) 685-5100
(813) 689-6797
Mailing address
10829 HOFFNER EDGE DR, RIVERVIEW, FL 33579-4058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9299278
FL
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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