Ellis, Dwayne Kemar

Ellis, Dwayne Kemar is an individual health care provider with primary practice located at 3000 41St Street Ocean , Marathon FL 33050-2373. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Ellis, Dwayne Kemar can be contacted via phone (305) 433-0576.

Contact Information

Primary practice address
3000 41St Street Ocean Marathon FL 33050-2373
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1114527330
LBN Legal business name Ellis, Dwayne Kemar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2020
Last updated Oct 27th, 2020 - about 6 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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