Individual
CYDNEE YOLETTE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5340 N FEDERAL HWY, LIGHTHOUSE POINT, FL 33064-7058
(954) 428-2480
Mailing address
111 FLORIDA AVE, CORAL GABLES, FL 33133-4828
(305) 725-7658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116902
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/25/2021
Last updated
03/27/2023
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