Individual
ELLESE M ZALEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 222-9213
Mailing address
2737 NW 58TH BLVD, GAINESVILLE, FL 32606-8516
(352) 222-9213
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108338000
—
FL
Enumeration date
08/19/2020
Last updated
12/03/2020
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