Jessica Ezelle, - Radiology in Mount Dora, FL

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Jessica Ezelle, is a Radiology - Radiological Physics physician based in Mount Dora, Florida. Jessica Ezelle is licensed to practice in Florida (license number CRT80851) and her current practice location is 4607 Coppola Dr, Mount Dora, Florida. She can be reached at her office (for appointments etc.) via phone at (912) 665-3714.

NPI number for Jessica Ezelle is 1225973274 and her current mailing address is 4607 Coppola Dr, Mount Dora, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225973274.

Contact Information

Jessica Ezelle,
4607 Coppola Dr,
Mount Dora, FL 32757-8068
(912) 665-3714
Not Available

Map and Direction




Physician's Profile

Full NameJessica Ezelle
GenderFemale
SpecialityRadiology - Radiological Physics
Location4607 Coppola Dr, Mount Dora, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225973274
  • Provider Enumeration Date: 04/23/2026
  • Last Update Date: 04/23/2026

Medical Identifiers

Medical identifiers for Jessica Ezelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225973274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0205XRadiology - Radiological Physics CRT80851 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Ezelle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Ezelle,
4607 Coppola Dr,
Mount Dora, FL 32757-8068

Ph: () -		Jessica Ezelle,
4607 Coppola Dr,
Mount Dora, FL 32757-8068

Ph: (912) 665-3714

Reviews and Comments


Radiology Doctors in Mount Dora, FL

Dr. Hector Ramirez Jr., M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 3615 Lake Center Dr, Mount Dora, FL 32757
Phone: 352-383-3716    

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