Individual
CAROL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 DR MARTIN LUTHER KING WAY, SARASOTA, FL 34234
(941) 952-4123
(941) 952-4101
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12755
TN
207R00000X
Internal Medicine Physician
Primary
ME129706
FL
Other
Enumeration date
02/01/2008
Last updated
06/12/2018
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