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

Dr. Hamidreza Ebneshahidi, MD

Individual provider General Practice Physician · NPI 1710473889

Dr. Hamidreza Ebneshahidi, MD is a General Practice in Debary, Florida. Qualified in 2008, 18 years ago. Practices with Premier Physician Associates, PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
18
Licensed in
FL, PR
In the registry since
2018
Specialties on file
2
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

110 Pond Ct Ste 301
Debary, FL 32713-2717
Phone: (386) 259-4258
Fax: (877) 569-2113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1122 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 19992 (PR)

Record details

NPI number1710473889
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 2, 2018
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Premier Physician Associates, P.A. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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