Lynne M. Ellis, Md,Pa

LBN: Lynne M. Ellis, Md,Pa
Lynne M. Ellis, Md,Pa is an health care organization with primary practice located at 1111 7Th Ave N Ste 103 , St Petersburg FL 33705-1348. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Lynne M. Ellis, Md,Pa can be contacted via phone (727) 822-5393, or through Ellis, Lynne M via phone (727) 822-5393.

Contact Information

Primary practice address
1111 7Th Ave N Ste 103 St Petersburg FL 33705-1348
Phone: (727) 822-5393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Lynne M Doctor of Medicine (MD)
Phone: (727) 822-5393

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 46897 Florida

Profile Details

NPI number 1912056540
LBN Legal business name Lynne M. Ellis, Md,Pa
DBA Doing business as
Authorized official Ellis, Lynne M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Sep 25th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912056540 NPPES
Florida MEDICAID 262210600

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