Organization
JEAN, EZECHIEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZECHIEL JEAN (ADMINISTRATOR)
(561) 513-7382
Entity
Organization
Contact information
Practice address
51 ALEGRO DR, SOUTHPORT, FL 32409-1745
(561) 513-7382
(850) 257-8096
Mailing address
51 ALEGRO DR, SOUTHPORT, FL 32409-1745
(561) 513-7382
(850) 257-8096
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/29/2026
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