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Individual

EZEQUIEL DISHMEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1010 S 63RD AVE, HOLLYWOOD, FL 33023-1738
(754) 366-5831
Mailing address
1010 S 63RD AVE, HOLLYWOOD, FL 33023-1738
(754) 366-5831

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11038839
FL

Other

Enumeration date
05/23/2025
Last updated
05/23/2025
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