Individual
MR. HORACE A ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.N., A. R. N. P.
Contact information
Practice address
1695 NW 9TH AVE, MIAMI, FL 33136-1409
(305) 355-7228
(305) 355-8091
Mailing address
10246 SW 24TH CT, MIRAMAR, FL 33025-6504
(954) 435-3696
(305) 355-8091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2180612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PROFEE AND GROUP #
—
FL
Enumeration date
03/04/2006
Last updated
07/09/2007
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