MEDICARE: WILLIAM KEITH EBLE JR.

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
1	207Q00000X	Family Medicine Physician	APRN11042749	FL

General Provider Information

NPI Number	:	1215804513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM KEITH EBLE JR.

Provider Business Mailing Address
First Line	:	39035 10TH AVE
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-4426
Country	:	US
Telephone Number	:	352-999-0734
Fax Number	:

Provider Business Practice Location Address
First Line	:	39035 10TH AVE
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-4426
Country	:	US
Telephone Number	:	352-999-0734
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	01/17/2026

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Directions to “ WILLIAM KEITH EBLE JR. ” Practice Location

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