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
Phone: (561) 574-0851
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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