Ellis, Laurie

Ellis, Laurie is an individual health care provider with primary practice located at 1750 E Hallandale Beach Blvd , Hallandale Beach FL 33009-4611. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ellis, Laurie can be contacted via phone (954) 276-9700.

Contact Information

Primary practice address
1750 E Hallandale Beach Blvd Hallandale Beach FL 33009-4611
Phone: (954) 276-9700
Fax: (954) 276-9725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0000980 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9110434 Florida

Profile Details

NPI number 1962508754
LBN Legal business name Ellis, Laurie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 22nd, 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.

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