| NPI | 1982472049 |
|---|---|
| Doing Business As | EBM |
| Doing Business As | EBM LLC |
| Entity Type | Organization |
| Authorized Contact | CUONG TON Owner/Medical Director 813-384-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261Q00000X | |
| 261QM0801X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |