Individual
DR. ETHAN ALAN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HARRISON ST, TITUSVILLE, FL 32780-5026
(321) 267-1424
(321) 267-2713
Mailing address
805 CENTURY MEDICAL DR STE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 267-2713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME119885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011682100
—
FL
Enumeration date
05/09/2006
Last updated
04/20/2021
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