Provider Demographics
NPI:1437564184
Name:EZ-INSPIRATIONS
Entity Type:Organization
Organization Name:EZ-INSPIRATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEZZULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-394-4662
Mailing Address - Street 1:10547 SW SUNRAY ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-7721
Mailing Address - Country:US
Mailing Address - Phone:727-394-4662
Mailing Address - Fax:727-674-1816
Practice Address - Street 1:10547 SW SUNRAY ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-7721
Practice Address - Country:US
Practice Address - Phone:727-394-4662
Practice Address - Fax:727-674-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT87312278H0200X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104140800Medicaid
FL012962100Medicaid