Ellis, Dawn
Ellis, Dawn is an individual health care provider with primary practice located at 410 Waymont Ct , Lake Mary FL 32746-3485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellis, Dawn can be contacted via phone (407) 323-3550.Contact Information
Primary practice address
410 Waymont Ct
Lake Mary FL 32746-3485
Phone: (407) 323-3550
Fax: (407) 330-5962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2026 | Florida |
Profile Details
| NPI number | 1114195013 |
|---|---|
| LBN Legal business name | Ellis, Dawn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2008 |
| Last updated | Feb 13th, 2008 - about 18 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.
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