Doctor Name: | JON VINCENT EBERLE |
NPI Number: | 1447466123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | |
Business Practice Address: | 4747 N Ocean Drive Suite 261 Lauderdale By The Sea, FL - 333082956 |
Business Phone Number: | 9545454922 |
Business Fax Number: | 9545454923 |
Mailing Address: | 4737 N Ocean Drive, #201 LAUDERDALE BY THE SEA |
State: | FL |
Postal Code: | 333082920 |
Phone Number: | 9545454922 |
Fax Number: | 9545454923 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 06/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |