Individual
DR. MARK ALLEN EBERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14012 US HIGHWAY 19, HUDSON, FL 34667-1165
(727) 868-4490
(727) 869-7085
Mailing address
14012 US HIGHWAY 19, HUDSON, FL 34667-1165
(727) 868-4490
(727) 869-7085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0048142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07923
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/16/2005
Last updated
03/16/2009
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