Individual
EZECHIEL JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
6907145
FL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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