Individual
DR. ELLEN MITCHELL EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 W MORSE BLVD, WINTER PARK, FL 32789-3749
(407) 629-5555
(407) 629-4884
Mailing address
701 W MORSE BLVD, WINTER PARK, FL 32789-3749
(407) 629-5555
(407) 629-4884
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME145344
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2014
Last updated
11/11/2023
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