Ellis, Tanace

Ellis, Tanace is an sole proprietor health care provider with primary practice located at 10100 Baymeadows Rd Apt#1504, Jacksonville FL 32256-0536. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Ellis, Tanace can be contacted via phone (904) 654-1499.

Contact Information

Primary practice address
10100 Baymeadows Rd Apt#1504 Jacksonville FL 32256-0536
Phone: (904) 654-1499
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 3042 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 12888 Florida

Profile Details

NPI number 1831570787
LBN Legal business name Ellis, Tanace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2015
Last updated Jun 16th, 2015 - about 11 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