MARK A EBERBACH MD PA
Ambulatory Health at Us Highway 19, Port Richey, FL

License number
Florida ME0048142
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. MARK ALLEN EBERBACH MD
Title: PRESIDENT
Phone: (727) 868-4490
Address
Address
14012 Us Highway 19, Port Richey, FL 34667
National Provider ID: 1124274493
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mark A Eberbach MD PA

14012 Us Hwy 19, Hudson, FL 34667

Doing business as:
Mark A. Eberbach, M.D., PA
Registration:
May 12, 1989
Phone:
(727) 868-4490 (Phone)
State ID:
K87909
Business type:
Domestic for Profit Corporation
Manager, Managing Members:
Dr Mark A Eberbach (President),Mark Eberbach (President, Treasurer, Secretary, Director),Pl Preferred Plastic Surgery Associates Manager, Managing Member, inactive
Categories:
Physicians & Surgeons - Cosmetic, Plastic & Reconstructive Surgery

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