Ellis, Carolyn

Ellis, Carolyn is an sole proprietor health care provider with primary practice located at 2025 Indian Rocks Rd S , Largo FL 33774-1035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ellis, Carolyn can be contacted via phone (727) 586-7103.

Contact Information

Primary practice address
2025 Indian Rocks Rd S Largo FL 33774-1035
Fax: (727) 585-7205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X UO3064 Florida

Profile Details

NPI number 1841555398
LBN Legal business name Ellis, Carolyn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2012 - about 12 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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