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Griffin Michael Ellis, STUDENT
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida
NPI 1316512536

Griffin Michael Ellis is a Student in an Organized Health Care Education/Training Program based in Fort Lauderdale, FL. Griffin Michael Ellis practices in Fort Lauderdale, FL and has the professional credentials of STUDENT. The NPI Number for Griffin Michael Ellis is 1316512536 and holds a License No. (Florida).

The current practice location address for Griffin Michael Ellis is 1600 S Andrews Ave, Fort Lauderdale, FL and can be reached out via phone at 954-468-8932.

Location: 1600 S Andrews Ave, Fort Lauderdale, FL, 33316-2510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316512536
Provider Name
Griffin Michael Ellis
Credential
STUDENT
Provider Entity Type
Individual
Gender
Male
Address
1600 S Andrews Ave, Fort Lauderdale, FL, 33316-2510
Phone Number
954-468-8932
Fax Number
Provider Enumeration Date
05/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 S Andrews Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2510
Phone Number
954-468-8932
Fax Number
person
Provider Business Mailing Address Details
Address
1600 S Andrews Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2510
Phone Number
954-468-8932
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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