Ellis, Yael Y.

Ellis, Yael Y. is an individual health care provider with primary practice located at 34041 Us Highway 19 N Suite E, Palm Harbor FL 34684-2648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ellis, Yael Y. can be contacted via phone (727) 953-8404.

Contact Information

Primary practice address
34041 Us Highway 19 N Suite E Palm Harbor FL 34684-2648
Phone: (727) 953-8404
Fax: (813) 635-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME40257 Florida

Profile Details

NPI number 1255381604
LBN Legal business name Ellis, Yael Y.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated May 9th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255381604 NPPES
Florida Other 110247405 RAILROAD MEDICARE NUMBER
Florida MEDICAID 043796400 RAILROAD MEDICARE NUMBER

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