Fernandez, Ellys R.

Fernandez, Ellys R. is an sole proprietor health care provider with primary practice located at 3098 Forest Hill Blvd Unit 2 , Palm Springs FL 33406-5940. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Fernandez, Ellys R. can be contacted via phone (718) 577-8800.

Contact Information

Primary practice address
3098 Forest Hill Blvd Unit 2 Palm Springs FL 33406-5940
Phone: (718) 577-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30.024662 Ohio
Dental Providers / General Practice 1223G0001X DN22382 Florida

Profile Details

NPI number 1093159923
LBN Legal business name Fernandez, Ellys R.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2013
Last updated May 17th, 2023 - about last year

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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