Individual
EZELA AGOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
4156 WOODLANDS PKWY STE B, PALM HARBOR, FL 34685-3478
(727) 372-6760
Mailing address
9700 HAMLIN BLVD APT 804, SEMINOLE, FL 33776-1022
(727) 455-4421
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11021295
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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