Vellis, Marykate H

Vellis, Marykate H is an individual health care provider with primary practice located at 6420 W Newberry Rd East Wing, Suite 100, Gainesville FL 32605-4308. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vellis, Marykate H can be contacted via phone (352) 332-3900.

Contact Information

Primary practice address
6420 W Newberry Rd East Wing, Suite 100 Gainesville FL 32605-4308
Phone: (352) 332-3900
Fax: (352) 332-5009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2618 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2618 Florida

Profile Details

NPI number 1720060833
LBN Legal business name Vellis, Marykate H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Oct 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720060833 NPPES
Florida MEDICAID 110832000

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