Ellis, Horace A

Ellis, Horace A is an individual health care provider with primary practice located at 1695 Nw 9Th Ave , Miami FL 33136-1409. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Ellis, Horace A can be contacted via phone (305) 355-7228.

Contact Information

Primary practice address
1695 Nw 9Th Ave Miami FL 33136-1409
Phone: (305) 355-7228
Fax: (305) 355-8091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2180612 Florida

Profile Details

NPI number 1457328734
LBN Legal business name Ellis, Horace A
Credentials M.S.N., A. R. N. P.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Jul 9th, 2007 - about 18 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 1457328734 NPPES
Florida MEDICAID PROFEE AND GROUP #

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