Boddie, Ellena Lois

Boddie, Ellena Lois is an individual health care provider with primary practice located at 525 Technology Park Ste 109 , Lake Mary FL 32746-7107. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Boddie, Ellena Lois can be contacted via phone (407) 647-2346.

Contact Information

Primary practice address
525 Technology Park Ste 109 Lake Mary FL 32746-7107
Phone: (407) 647-2346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301502442 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13001A Wyoming
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036116967 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TM2020-0627 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036116967 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M15405 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00041414 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME146842 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01057385A Indiana

Profile Details

NPI number 1689673790
LBN Legal business name Boddie, Ellena Lois
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 11th, 2024 - about last year

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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