Individual
CAROL JOHNSON EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME55491
FL
Other
Enumeration date
02/06/2006
Last updated
11/27/2023
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