Individual
DAVID CHARLES ELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BCEN, CVRN
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1000
(941) 746-5111
Mailing address
61 BELEM ST, PUNTA GORDA, FL 33983-5203
(941) 626-0960
(209) 653-0960
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
PMD206372
FL
163WE0003X
Emergency Registered Nurse
638056-1
NY
163WE0003X
Emergency Registered Nurse
96194
CT
163WE0003X
Emergency Registered Nurse
Primary
RN9314202
FL
Other
Enumeration date
04/08/2017
Last updated
04/13/2022
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