Individual
DR. HAMIDREZA EBNESHAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 POND CT STE 301, DEBARY, FL 32713-2717
(386) 259-4258
(877) 569-2113
Mailing address
110 POND CT STE 301, DEBARY, FL 32713-2717
(386) 259-4258
(877) 569-2113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19992
PR
208D00000X
General Practice Physician
Primary
ACN1122
FL
Other
Enumeration date
07/02/2018
Last updated
11/21/2025
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