Organization
EZ-INSPIRATIONS
Active
Organization
EZ-INSPIRATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PEZZULLO (PRES)
(727) 394-4662
Entity
Organization
Contact information
Practice address
10547 SW SUNRAY ST, PORT ST LUCIE, FL 34987-7721
(727) 394-4662
(727) 674-1816
Mailing address
10547 SW SUNRAY ST, PORT ST LUCIE, FL 34987-7721
(727) 394-4662
(727) 674-1816
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
TT8731
FL
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012962100
—
FL
05
—
104140800
—
FL
Enumeration date
06/20/2014
Last updated
03/01/2023
Update your record
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