Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Johnson Ebersole, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1770555641

Carol Johnson Ebersole, MD is a Vascular & Interventional Radiology Physician in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone: (863) 680-7000
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence ME55491 (FL)

Record details

NPI number1770555641
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 6, 2006
Last updated in NPPESNovember 27, 2023
Certification dateOctober 2, 2020
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019

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