Individual
JOYCE A ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-CPT
Contact information
Practice address
219 S MAIN ST, WILLISTON, FL 32696-2657
(352) 529-0600
(352) 529-0601
Mailing address
PO BOX 34, WILLISTON, FL 32696-0034
(352) 529-0600
(352) 529-0601
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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