Mark I Ellen is a Sports Medicine in Summerfield, Florida. Mark I Ellen practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mark I Ellen is 1720181951. The last update date is 2020-05-18.
Mark I Ellen's current location address is 10435 Se 170th Pl, Summerfield, Florida. You can contact this provider via phone number 3526306250. The mailing address for Mark I Ellen is 10435 Se 170th Pl, Summerfield, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark I Ellen |
|---|---|
| Address | 10435 Se 170th Pl, Summerfield, Florida |
| Phone Number | 3526306250 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720181951 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2020-05-18 |
Provider Mailing Address Detail
| Address | 10435 Se 170th Pl |
|---|---|
| City | Summerfield |
| State | Florida (FL) |
| Post Code | 344918998 |
| Phone Number | 3526306250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | 25MA06361300 |
|
Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
|
Post Comment/ Review Below
What is the Mark I Ellen's 1720181951?
The Mark I Ellen's NPI (National Provider Identifier) Number is 1720181951. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark I Ellen?
The Mark I Ellen is situated at 10435 Se 170Th Pl, in the city of Summerfield, state of FL, with the zip code 344918998.
What is Mark I Ellen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark I Ellen is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081S0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720181951 to Mark I Ellen?
The Centers for Medicare & Medicaid Services assigned the 1720181951 to Mark I Ellen on 2006-09-06.
As of what date were the Mark I Ellen's details last updated?
The information pertaining to the Mark I Ellen, including its address, specialty, and other details, was most recently updated on 2020-05-18.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN