Ebonique Maeweathers, P.A.

NPI #1861545014 in Orlando, Florida

Provider Information

NPI Number: 1861545014
Entity Type: Individual
Name: Ebonique Maeweathers, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9500 SATELLITE BLVD
City: Orlando
State: Florida
ZIP Code: 32837-8464
Phone: (407) 859-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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