Eberhard, Joshua William
Eberhard, Joshua William is an individual health care provider with primary practice located at 116 1St St N , St Petersburg FL 33701-3305. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Eberhard, Joshua William can be contacted via phone (727) 895-5210.Contact Information
Primary practice address
116 1St St N
St Petersburg FL 33701-3305
Phone: (727) 895-5210
Fax: (727) 821-4297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME123100 | Florida |
Profile Details
| NPI number | 1629339692 |
|---|---|
| LBN Legal business name | Eberhard, Joshua William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2012 |
| Last updated | Aug 19th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629339692 | NPPES |
| Florida | MEDICAID | 015255500 | |
| Florida | Other | P01646476 |
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