Individual
DANE ELLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 WESTON RD, WESTON, FL 33331-3602
(954) 689-5000
Mailing address
6811 NW 34TH ST, MARGATE, FL 33063-8040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11026840
FL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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