MICHAEL EBRADA


Address: 16400 Rollingbrook Dr, Odessa, FL 33556-4907
Phone: 8137876830

MICHAEL EBRADA (NPI# 1841767597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841767597
Entity Type Individual
Full Name MICHAEL EBRADA
Practice Address 16400 Rollingbrook Dr
Odessa
FL 33556-4907
Practice Telephone 8137876830
Mailing Telephone 8137876830
Enumeration Date 2018-10-31
Last Update Date 2019-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9309391 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 16400 ROLLINGBROOK DR
City ODESSA
State FL
Zip Code 33556-4907

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639776115 Taylor Marie Russell Nurse Practitioner 15217 Wind Whisper Dr, Odessa, FL 33556-1832 2020-10-07
1992310551 Taylor Barnes Nurse Practitioner 5919 Fitzgerald Rd, Odessa, FL 33556-2355 2020-09-10
1558995753 Mission Health, Pllc Nurse Practitioner 3112 San Saba Dr, Odessa, TX 79765-5058 2020-02-26
1710549084 Alyce Greenwood Nurse Practitioner 16501 Harper Pond Ln Apt 301, Odessa, FL 33556-6101 2019-07-08
1073170411 Trudian Alicia Lester Nurse Practitioner 8050 E Highway 191 Ste 104, Odessa, TX 79765-8614 2019-05-21
1043773153 Janette Garcia Nurse Practitioner 420 E 6th St Ste 201b, Odessa, TX 79761-4572 2019-04-08
1073074258 Courtney Clubb Nurse Practitioner 410 N Hancock Ave # 4, Odessa, TX 79761-5140 2019-03-28
1891256434 Joann Mercedes Georges Guillory Nurse Practitioner 56 Berkshire Cir, Odessa, TX 79765-2218 2019-03-27
1689138521 Jacqueline Alcantara Nurse Practitioner 15103 Virginia Sta Apt 214, Odessa, FL 33556-3579 2019-01-24
1043729601 Scott Stout Nurse Practitioner 3952 E 42nd St Ste Z, Odessa, TX 79762-5942 2017-09-27
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Competitor

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City ODESSA
Zip Code 33556

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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