Individual
PRECIOUS EZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1147 NW 64TH TERRACE, GAINESVILLE, FL 32605
(352) 682-8319
Mailing address
1147 NW 64TH TERRACE, GAINESVILLE, FL 32605
(352) 682-8319
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
94001
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
06/27/2023
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