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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EZECHIEL JEAN

Active Sole Proprietor

EZECHIEL JEAN is a Assisted Living Facility healthcare provider located in SOUTHPORT, Florida. NPI 1750260568 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · SOUTHPORT, FL

Registration Details

NPI Number
1750260568
Provider Type
Individual
Gender
Male
NPI Issued
Aug 27, 2025 (0.77626836301554 yrs)
Last Updated
Aug 27, 2025
License
6907145 (FL)
Sole Proprietor
Yes

Practice Information

Address
51 ALEGRO DR
SOUTHPORT, FL, 324091745
Browse FL providers · Browse ZIP 32409
Phone
5615137382
Fax
8502578096
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.