Individual
EZZARD LEE MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 NW 8TH ST, HALLANDALE BEACH, FL 33009-2325
(954) 919-8040
Mailing address
18 NW 8TH ST, HALLANDALE BEACH, FL 33009-2325
(954) 919-8040
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2024MT513591
FL
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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