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Individual

PAUL A EBANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4233 SUN N LAKE BLVD, SEBRING, FL 33872-2158
(863) 382-1570
(863) 471-0908
Mailing address
4233 SUN N LAKE BLVD, SEBRING, FL 33872-2158
(863) 382-1570
(863) 471-2101

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3117
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118950300
FL
05
340452800
FL
Enumeration date
12/28/2005
Last updated
11/06/2023
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