Individual
SEAN MICHAEL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
900 BISCAYNE BLVD APT 3105, MIAMI, FL 33132-1567
(402) 203-0599
Mailing address
900 BISCAYNE BLVD APT 3105, MIAMI, FL 33132-1567
(402) 203-0599
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11031225
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11031225
FL
Other
Enumeration date
03/04/2024
Last updated
11/08/2024
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