Rollins, Ebony Monique

Rollins, Ebony Monique is an individual health care provider with primary practice located at 130 Bates Ave Sw Ste 111 , Winter Haven FL 33880-2920. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rollins, Ebony Monique can be contacted via phone (863) 268-4626.

Contact Information

Primary practice address
130 Bates Ave Sw Ste 111 Winter Haven FL 33880-2920
Fax: (866) 825-5809
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9304982 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9304982 Florida

Profile Details

NPI number 1053869529
LBN Legal business name Rollins, Ebony Monique
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2016
Last updated Jan 30th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1053869529 NPPES
Florida MEDICAID 019675100

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