Lynne M. Ellis, Md,Pa in St Petersburg - Primary Care

Lynne M. Ellis, Md,Pa - NPI 1912056540

Lynne M. Ellis, Md,Pa is a Primary Care in St Petersburg, Florida. Lynne M. Ellis, Md,Pa practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Lynne M. Ellis, Md,Pa is 1912056540. The last update date is 2012-09-25.

Lynne M. Ellis, Md,Pa's current location address is 1111 7th Ave N Ste 103, St Petersburg, Florida. You can contact this provider via phone number 7278225393. The mailing address for Lynne M. Ellis, Md,Pa is 1111 7th Ave N Ste 103, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lynne M. Ellis, Md,Pa
Address 1111 7th Ave N Ste 103, St Petersburg, Florida
Phone Number 7278225393
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ellis M Lynne
Credentials MD
Telephone Number 7278225393

NPI Number Detail

NPI Number 1912056540
Provider Enumeration Date 2007-01-10
Last Updated Date 2012-09-25

Provider Mailing Address Detail

Address 1111 7th Ave N Ste 103
City St Petersburg
State Florida (FL)
Post Code 337051348
Phone Number 7278225393
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 46897
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
262210600 FL --

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FAQs about Lynne M. Ellis, Md,Pa

What is the unique identification code assigned to Lynne M. Ellis, Md,Pa by the Centers for Medicare & Medicaid Services?

The Lynne M. Ellis, Md,Pa has been issued the NPI (National Provider Identifier) 1912056540. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Lynne M. Ellis, Md,Pa's facilities are geographically located?

The facilities of Lynne M. Ellis, Md,Pa are physically situated at the following location: 1111 7Th Ave N Ste 103, St Petersburg, FL, 337051348.

What is the area of specialization for Lynne M. Ellis, Md,Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lynne M. Ellis, Md,Pa is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.

On what date did Lynne M. Ellis, Md,Pa receive its 1912056540 assignment from the Centers for Medicare & Medicaid Services?

The Lynne M. Ellis, Md,Pa was assigned its 1912056540 on 2007-01-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Lynne M. Ellis, Md,Pa most recently updated or revised?

The information pertaining to Lynne M. Ellis, Md,Pa, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-25.

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