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Individual

MS. GAIL MARIE EZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,RN,CPNP,ARNP

Contact information

Practice address
357 WEKIVA SPRINGS RD, LONGWOOD, FL 32779-3607
(321) 280-5867
(407) 774-1877
Mailing address
357 WEKIVA SPRINGS RD, LONGWOOD, FL 32779-3607
(321) 280-5867
(407) 774-1877

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9328363
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0039996800
FL
05
425769700
MO
Enumeration date
05/10/2006
Last updated
03/17/2022
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