IndividualActive
Jessica Ezelle
NPI 1225973274 · Radiological Physics Physician · Mount Dora, FL
Provider details
- NPI number
- 1225973274
- Entity type
- Individual
- Primary specialty
- Radiological Physics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- CRT80851 (FL)
Mailing address
4607 Coppola Dr
Mount Dora, FL 32757-8068
Registry dates
- Enumerated
- 2026-04-23
- Last updated
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.