Individual
DR. ELLENA LOIS BODDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1507 S TUTTLE AVE, SARASOTA, FL 34239-2608
(301) 722-0484
(833) 903-0130
Mailing address
157 BALTIMORE ST STE 100, CUMBERLAND, MD 21502-2472
(301) 722-0484
(833) 903-0130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00041414
AL
207R00000X
Internal Medicine Physician
01057385A
IN
207R00000X
Internal Medicine Physician
036116967
IL
207R00000X
Internal Medicine Physician
13001A
WY
207R00000X
Internal Medicine Physician
4301502442
MI
207R00000X
Internal Medicine Physician
M15405
ID
207R00000X
Internal Medicine Physician
ME146842
FL
207R00000X
Internal Medicine Physician
TM2020-0627
NM
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME146842
FL
208M00000X
Hospitalist Physician
Primary
036116967
IL
Other
Enumeration date
07/20/2005
Last updated
02/11/2025
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