Individual
MARY EZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5521
(305) 654-5025
Mailing address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5521
(305) 654-5025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9169221
FL
Other
Enumeration date
08/18/2011
Last updated
10/17/2024
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