Ellis, Coleen Ann

Ellis, Coleen Ann is an individual health care provider with primary practice located at 1120 10Th St E , Palmetto FL 34221-4134. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ellis, Coleen Ann can be contacted via phone (941) 847-7903.

Contact Information

Primary practice address
1120 10Th St E Palmetto FL 34221-4134
Phone: (941) 847-7903
Fax: (941) 847-7919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME87898 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME87898 Florida

Profile Details

NPI number 1366416190
LBN Legal business name Ellis, Coleen Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Aug 16th, 2021 - about 3 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

Identifiers

StateTypeNumberIssuer
All States NPI 1366416190 NPPES
Florida MEDICAID 271958400

Popular Providers