Individual
DEMETRIC GAZZARA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 LANSDOWNE DR APT 215, JACKSONVILLE, FL 32211-5151
(904) 444-0180
Mailing address
1600 LANSDOWNE DR APT 215, JACKSONVILLE, FL 32211-5151
(904) 444-0180
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
30402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E420167672670
—
FL
Enumeration date
02/09/2020
Last updated
02/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us