Individual
DEREK ELVIN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
6604 OAKVIEW TER, TAMPA, FL 33610-1646
(813) 500-2455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11024640
FL
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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