Individual
MS. PATRICIA ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
(727) 319-1057
Mailing address
10312 98TH ST, LARGO, FL 33773-4538
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
FL1437832
FL
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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