Healthcare Provider Details

I. General information

NPI: 1205776325
Provider Name (Legal Business Name): CHRISTINA EUBANKS HAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6230 SCOTT ST UNIT 111
PUNTA GORDA FL
33950-3939
US

IV. Provider business mailing address

6230 SCOTT ST UNIT 111
PUNTA GORDA FL
33950-3939
US

V. Phone/Fax

Practice location:
  • Phone: 941-205-8815
  • Fax:
Mailing address:
  • Phone: 941-205-8815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAS5956
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: