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Individual
DR. NATALIE N ELLIS
Active
Individual
DR. NATALIE N ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 108149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003909100
—
FL
01
—
14A10
BCBS OF FL
FL
01
—
ME 108149
MEDICAL LICENSE
FL
Enumeration date
08/09/2006
Last updated
08/13/2018
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