Individual
EZECHIEL MADESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
5813 S CONGRESS AVE, ATLANTIS, FL 33462-1347
(561) 797-0724
(833) 502-4172
Mailing address
9465 WORSWICK CT, WELLINGTON, FL 33414-6423
(561) 797-0724
(833) 502-4172
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11021815
FL
Other
Enumeration date
09/12/2022
Last updated
02/20/2026
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