Individual provider · NPI-1

Martin Ebenger, M.D.

Obstetrics & Gynecology, Gynecology · Fort Myers, FL

NPI number1912994609
StatusActive
Last updated in NPPESMar 30, 2023

Details

NPI
1912994609
Entity type
Individual (NPI-1)
Name
Martin Ebenger
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2005
Certification date
Mar 30, 2023
Last updated
Mar 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, GynecologyME006358FLYes
207V00000X Obstetrics & GynecologyME0065358FL

Practice location

15901 Bass Rd
Suite 100
Fort Myers, FL 33908

Phone 239-343-6100 · Fax 239-343-9925

Mailing address

Po Box 2147
Ft Myers, FL 33902-2147

Phone 239-343-6100 · Fax 239-343-9925

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