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Contact Information

CHARLES S EBY MD PA
2666 SWAMP CABBAGE CT
FORT MYERS, FL33901-9332
 Phone: 239-936-1145
 Fax: 239-275-5074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CHARLES S EBY MD PA

NPI Number 1518126192
LBN Legal business name CHARLES S EBY MD PA
Authorized official CHARLES EBY - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2008
Last updated 06/09/2008 - About 18 years ago
Identifiers
FL License # ME15824
FL Other K7316 MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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