Ellis, Keisha

Ellis, Keisha is an individual health care provider with primary practice located at 300 Parkview Pl , Lakeland FL 33805-4550. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Ellis, Keisha can be contacted via phone (863) 687-1300.

Contact Information

Primary practice address
300 Parkview Pl Lakeland FL 33805-4550
Phone: (863) 687-1300
Fax: (863) 687-1305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME154963 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 080549 Georgia
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME154963 Florida

Profile Details

NPI number 1366887861
LBN Legal business name Ellis, Keisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2013
Last updated Sep 18th, 2022 - about 2 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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