Stephen W Eubanks (NPI# 1942302799, PAC ID# 6507831914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1942302799 |
| PAC ID by PECOS | 6507831914 |
| Professional Enrollment ID | I20171130001249 |
| Full Name | Stephen W Eubanks |
| Organization Legal Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Address |
1720 Dunlawton Ave Suite 2 Port Orange FL 32127-2916 |
| Phone Number | 3863228310 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4688579311 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 408 Palmetto St, New Smyrna Beach, FL 32168-7323 | 3864787606 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| 1720 Dunlawton Ave, Suite 2, Port Orange, FL 32127-2916 | 3863228310 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Organization Legal Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Physicians | 160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Etan Ariel Marks | Pathology | Leavitt Medical Associates of Florida Inc | 1300 Nw 17th Ave, Suite 130, Delray Beach, FL 33445-2588 |
| Matthew Hendricks | Physician Assistant | Leavitt Medical Associates of Florida Inc | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1778 |
| Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Caitlin Fredericka | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 2005 W Reynolds St, Plant City, FL 33563-4743 |
| Danielle Elizabeth Marino | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 12525 Philips Hwy, Suite 101, Jacksonville, FL 32256-3740 |
| Savina Aneja | Dermatology | Leavitt Medical Associates of Florida Inc | 400 W Fairbanks Ave, Winter Park, FL 32789-5084 |
| Valerie A Yantsos Ray | Pathology | Leavitt Medical Associates of Florida Inc | 14521 University Point Pl, Tampa, FL 33613-5424 |
| Ivette M. Sosa Seda | Dermatology | Leavitt Medical Associates of Florida Inc | 4100 Southpoint Dr E, Suite 1, Jacksonville, FL 32216-8710 |
| Mark M Fogg | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 11021 Spring Hill Dr, Spring Hill, FL 34608-5049 |
| Kimlien T Nguyen | Nurse Practitioner | Leavitt Medical Associates of Florida Inc | 1801 N Belcher Rd, Suite B, Clearwater, FL 33765-1452 |
| Street Address |
1720 DUNLAWTON AVE SUITE 2 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32127-2916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isabella Turner | Physician Assistant | Leavitt Medical Associates of Florida Inc | 1720 Dunlawton Ave, Suite 2, Port Orange, FL 32127-2916 |
| Joseph T Lucas | Dermatology | Leavitt Medical Associates of Florida Inc | 1720 Dunlawton Ave, Port Orange, FL 32127-2916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Williams | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| David L Meese | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Joseph Mirante | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Michael Munier | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Andrew H Ritter | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| John S Newman | Certified Registered Nurse Anesthetist (crna) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Anthony T Tucker | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| John T Tolland | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Robert J Yu | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Timothy J Wierzbicki | Neurology | 1211 Dunlawton Ave, Port Orange, FL 32127-2913 | |
| Find all physicians in zip 32127 | |||
| City | PORT ORANGE |
| Zip Code | 32127 |
| Specialty | DERMATOLOGY |
| City + Specialty | PORT ORANGE + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.