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

Individual provider Emergency Medicine Physician · NPI 1720020852

Eleonora Hackman-Kerbyson, MD is an Emergency Medicine Physician in Port Charlotte, Florida. Licensed in Florida, Illinois and Missouri. Registered with an NPI since 2006.

Licensed in
FL, IL, MO
In the registry since
2006
Specialties on file
3
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

2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922
Phone: (941) 624-2704
Fax: (941) 627-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME104987 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2003014738 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-110911 (IL)

Record details

NPI number1720020852
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESFebruary 20, 2014
Mailing address3434 Hancock Bridge Pkwy, Ste 301, N Fort Myers, FL 33903-7094

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