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Individual
LIAM TY ELLIS
Active
Individual
LIAM TY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9522986
FL
363L00000X
Nurse Practitioner
Primary
APRN11037436
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
11037436
FL
Other
Enumeration date
12/02/2024
Last updated
02/19/2025
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