Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Ezelle

Individual provider Radiological Physics Physician · NPI 1225973274

Jessica Ezelle is a Radiological Physics Physician in Mount Dora, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

4607 Coppola Dr
Mount Dora, FL 32757-8068
Phone: (912) 665-3714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiological Physics Physician (primary) Taxonomy 2085R0205X · Licence CRT80851 (FL)

Record details

NPI number1225973274
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026