Madestin, Ezechiel

Madestin, Ezechiel is an individual health care provider with primary practice located at 5459 Queenship Ct , Greenacres FL 33463-5970. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Madestin, Ezechiel can be contacted via phone (561) 574-0851.

Contact Information

Primary practice address
5459 Queenship Ct Greenacres FL 33463-5970
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11021815 Florida

Profile Details

NPI number 1710608344
LBN Legal business name Madestin, Ezechiel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Sep 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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