IndividualActive
Carol Ebersole, MD
NPI 1770555641 · Vascular & Interventional Radiology Physician · Lakeland, FL
Provider details
- NPI number
- 1770555641
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME55491 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone: (863) 680-7000
Fax: (866) 264-8519
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2023-11-27
- Certified
- 2020-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.