Marcolongo, Ellen

Marcolongo, Ellen is an individual health care provider with primary practice located at 5985 49Th St N , St Petersburg FL 33709-2111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Marcolongo, Ellen can be contacted via phone (727) 527-5060.

Contact Information

Primary practice address
5985 49Th St N St Petersburg FL 33709-2111
Phone: (727) 527-5060
Fax: (727) 230-9194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 9205990 Florida

Profile Details

NPI number 1104960855
LBN Legal business name Marcolongo, Ellen
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jun 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104960855 NPPES
Florida Other 15607001 CITRUS-49TH STREET
Florida MEDICAID 308213000 CITRUS-49TH STREET
Florida Other 308266 CITRUS-49TH STREET
Florida Other P00662873 CITRUS-49TH STREET
Florida Other 01130239 CITRUS-49TH STREET
Florida Other 1062439 CITRUS-49TH STREET
Florida Other 201266825 CITRUS-49TH STREET
Florida Other P03332 CITRUS-49TH STREET
Florida Other 15607003 CITRUS-49TH STREET
Florida Other 15607002 CITRUS-49TH STREET
Florida Other 3082130 CITRUS-49TH STREET
Florida Other Y113D CITRUS-49TH STREET
Florida Other 201266825 CITRUS-49TH STREET
Florida Other 308213000 CITRUS-49TH STREET

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