Ewbank, Jeremy Paul

Ewbank, Jeremy Paul is an individual health care provider with primary practice located at 773 Stirling Center Pl , Lake Mary FL 32746-4856. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ewbank, Jeremy Paul can be contacted via phone (407) 977-4130.

Contact Information

Primary practice address
773 Stirling Center Pl Lake Mary FL 32746-4856
Phone: (407) 977-4130
Fax: (407) 977-4139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104927 Florida

Profile Details

NPI number 1760620314
LBN Legal business name Ewbank, Jeremy Paul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Mar 7th, 2023 - 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.

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