Individual
ELLEN FLEURIVAL EVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 MEDICAL DR, TALLAHASSEE, FL 32308-4684
(850) 431-5250
Mailing address
3148 DICK WILSON BLVD APT 923, TALLAHASSEE, FL 32301-5152
(786) 913-0472
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
PENDING
FL
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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