Ellis, Tadecher

Ellis, Tadecher is an sole proprietor health care provider with primary practice located at 2724 Sw 84Th Ter , Miramar FL 33025-2962. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Ellis, Tadecher can be contacted via phone (203) 360-6824.

Contact Information

Primary practice address
2724 Sw 84Th Ter Miramar FL 33025-2962
Phone: (203) 360-6824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9108390 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PA9108390 Florida

Profile Details

NPI number 1891199972
LBN Legal business name Ellis, Tadecher
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2014
Last updated Jun 6th, 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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