Individual
ELLAMAY ARTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 RAYMOND STREET, BLDG 510, ORLANDO, FL 33897
(321) 397-6764
Mailing address
531 JAYBEE AVE, DAVENPORT, FL 33897-5455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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