Davis, Ellen

Davis, Ellen is an sole proprietor health care provider with primary practice located at 130 Pablo St , Lakeland FL 33803-3818. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Davis, Ellen can be contacted via phone (863) 284-5906.

Contact Information

Primary practice address
130 Pablo St Lakeland FL 33803-3818
Phone: (863) 284-5906
Fax: (863) 284-5149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9112245 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1194384362
LBN Legal business name Davis, Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2019
Last updated Nov 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers