Individual provider · Type 1 NPI
Gloried Marie Ebsworth, DPM
Foot & Ankle Surgery Podiatrist · Jacksonville, FL
NPI number
1649408501
Active
Practice location
1726 University Blvd S
Jacksonville, FL 32216-8929
Mailing address
1985 Cove Dr
Largo, FL 33774-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | PO 3550 (FL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO 3550 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1649408501
Gloried Marie Ebsworth, DPM's National Provider Identifier is 1649408501, issued on Jun 30, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 9, 2026.