Individual
DEIRDRE WOOLSEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8600 ASTRONAUT BLVD, PORT CANAVERAL, FL 32920-4306
(703) 261-1100
Mailing address
1366 44TH ST, SARASOTA, FL 34234-4628
(703) 929-4983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002387
VA
363A00000X
Physician Assistant
Primary
PA9112912
FL
Other
Enumeration date
11/07/2006
Last updated
05/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up