Individual provider · Type 1 NPI

Hamidreza Ebneshahidi, MD

General Practice Physician · Debary, FL

NPI number 1710473889 Active

Practice location

110 Pond Ct Ste 301
Debary, FL 32713-2717

Fax (877) 569-2113

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XACN1122 (FL)
General Practice Physician 208D00000X19992 (PR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1710473889

Hamidreza Ebneshahidi, MD's National Provider Identifier is 1710473889, issued on Jul 2, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Debary, FL. The record was last updated on Nov 21, 2025.