Individual provider Active NPI

Hazel Dionne, MD

  • Surgery Physician
  • Winter Park, FL
National Provider Identifier
1639829849
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
TRN35713 Issued in FL
Practice address
133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Phone
(407) 646-7070
NPI assigned
Mar 29, 2022
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X TRN35713 FL Primary

Addresses

Primary practice location

133 Benmore Dr Ste 200
Winter Park, FL 32792-4111

Mailing address

133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Phone (904) 953-2000

Other names 1

  • Hazel Ezeribe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628003883 FL Order and Referring Only - General SurgeryPractitioner - General SurgeryPractitioner - Family Practice 3971983578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1639829849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "904-953-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "407-646-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONNE",
        "first_name": "HAZEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "TRN35713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL",
            "last_name": "EZERIBE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.