Organization
HEALING IHN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIED M EBSWORTH MD (DIRECTOR)
(863) 738-6601
Entity
Organization
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
207Q00000X
Family Medicine Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
08/02/2025
Last updated
09/27/2025
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