Individual
BETHANY ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1420 CELEBRATION BLVD STE 200, CELEBRATION, FL 34747-5162
(321) 442-2454
(407) 386-3006
Mailing address
4220 LUGANO CT, KISSIMMEE, FL 34746-3434
(321) 442-2454
(407) 386-3006
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/05/2024
Last updated
10/05/2024
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