Ellis, Elliot
Ellis, Elliot is an individual health care provider with primary practice located at 1117 N Olive Ave Ste 203 , West Palm Beach FL 33401-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ellis, Elliot can be contacted via phone (561) 802-4206.Contact Information
Primary practice address
1117 N Olive Ave Ste 203
West Palm Beach FL 33401-3520
Phone: (561) 802-4206
Fax: (561) 802-9059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME103667 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 239542 | New York |
Profile Details
| NPI number | 1396914800 |
|---|---|
| LBN Legal business name | Ellis, Elliot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2008 |
| Last updated | Mar 2nd, 2026 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396914800 | NPPES |
| Florida | MEDICAID | 0016552500 |
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