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

Mr. Jeremy Paul Ewbank, PA

Individual provider Physician Assistant · NPI 1760620314

Mr. Jeremy Paul Ewbank, PA is a Physician Assistant in Orlando, Florida. Qualified in 2008, 18 years ago. Practices with Hughston Clinic Southeast PC, a 48-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

601 E Rollins St
Orlando, FL 32803-1248
Phone: (407) 609-0095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 773 Stirling Center Pl, Lake Mary, FL 32746-4856 — (407) 977-4130
  • 309 N Mangoustine Ave, Sanford, FL 32771-1098 — (321) 363-1754

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9104927 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9104927 (FL)

Record details

NPI number1760620314
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 4, 2009
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Hughston Clinic Southeast Pc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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