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Jessica Ezelle
NPI 1225973274 · on the registry since 2026 · sole proprietor
Practice
- Address
- 4607 Coppola Dr
Mount Dora, FL 32757 - Phone
- (912) 665-3714
Registry record
- Primary taxonomy
- 2085R0205X
2085R0205X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida