Provider Demographics
NPI:1184110835
Name:EZ HEALTHCARE AND COUNSELING PLLC
Entity type:Organization
Organization Name:EZ HEALTHCARE AND COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISSA
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:ZEIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-999-6086
Mailing Address - Street 1:407 WEKIVA SPRINGS RD STE 207J
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6096
Mailing Address - Country:US
Mailing Address - Phone:407-999-6086
Mailing Address - Fax:
Practice Address - Street 1:407 WEKIVA SPRINGS RD STE 207J
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6096
Practice Address - Country:US
Practice Address - Phone:407-999-6086
Practice Address - Fax:407-604-6803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121800251G00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty