Individual
DR. KRISTIN ALEXANDRIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
(772) 419-4834
(772) 419-4833
Mailing address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
(772) 419-4834
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS20624
FL
Other
Enumeration date
10/13/2014
Last updated
03/22/2024
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