Ellis, Matthew S

Ellis, Matthew S is an sole proprietor health care provider with primary practice located at 6400 W Newberry Rd Ste 104 , Gainesville FL 32605-4399. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Ellis, Matthew S can be contacted via phone (352) 333-5918.

Contact Information

Primary practice address
6400 W Newberry Rd Ste 104 Gainesville FL 32605-4399
Phone: (352) 333-5918
Fax: (352) 333-4684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X ME96520 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME96520 Florida

Profile Details

NPI number 1871540716
LBN Legal business name Ellis, Matthew S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Aug 5th, 2020 - about 6 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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