Individual
GINU EASOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1573 W FAIRBANKS AVE STE 100, WINTER PARK, FL 32789-4679
(407) 896-8097
(407) 898-8328
Mailing address
2697 LEGACY RESERVE CT, WINTER PARK, FL 32792-7521
(407) 743-9113
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029060
FL
Other
Enumeration date
10/09/2023
Last updated
06/05/2025
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