Ellis, Susan Anne

Ellis, Susan Anne is an individual health care provider with primary practice located at 130 Tuskawilla Rd , Winter Springs FL 32708-2831. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ellis, Susan Anne can be contacted via phone (407) 320-8749.

Contact Information

Primary practice address
130 Tuskawilla Rd Winter Springs FL 32708-2831
Phone: (407) 320-8749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL246 Florida

Profile Details

NPI number 1578520292
LBN Legal business name Ellis, Susan Anne
Credentials ATC, LAT, EMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 8th, 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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