Individual
BILLIE J EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 BLANDING BLVD, MIDDLEBURG, FL 32068-2301
(904) 291-4375
Mailing address
2675 BLANDING BLVD, MIDDLEBURG, FL 32068-5171
(904) 291-4375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS45212
FL
Other
Enumeration date
03/10/2010
Last updated
11/17/2011
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