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NPI Code Detail

MEDICARE: DR. MARC LEE EBERSBERGER JR. MD

MEDICARE:  DR. MARC LEE EBERSBERGER JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0801XOrthopaedic Trauma Physician01064933AIN
2207XX0801XOrthopaedic Trauma PhysicianME121238FL

General Provider Information

NPI Number : 1073721726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC LEE EBERSBERGER JR. MD
Provider Business Mailing Address
First Line : 1700 NW 64TH ST
Second Line : SUITE 700
City : FORT LAUDERDALE
State : FL
Zip : 33309-1800
Country : US
Telephone Number : 954-580-4084
Fax Number : 954-530-5096
Provider Business Practice Location Address
First Line : 800 NE 62ND ST STE 304
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33334-3522
Country : US
Telephone Number : 954-491-7758
Fax Number : 954-938-5339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 06/15/2026

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