Individual
MR. MERVIN HELLORD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7230 HARBOUR BLVD, MIRAMAR, FL 33023-6559
(954) 708-0050
Mailing address
7230 HARBOUR BLVD, MIRAMAR, FL 33023-6559
(954) 708-0050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4603
FL
Other
Enumeration date
04/23/2024
Last updated
05/04/2025
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