institution
Lynne M. Ellis, Md,pa
Primary Care Clinic/Center in St Petersburg, Florida
NPI 1912056540

Lynne M. Ellis, Md,pa is a Primary Care Clinic/Center based in St Petersburg, FL and is specialized in Primary Care. Lynne M. Ellis, Md,pa practices in St Petersburg, FL. The NPI Number for Lynne M. Ellis, Md,pa is 1912056540 and holds a License No. 46897 (Florida).

The current practice location address for Lynne M. Ellis, Md,pa is 1111 7Th Ave N Ste 103, St Petersburg, FL and can be reached out via phone at 727-822-5393.

Location: 1111 7Th Ave N Ste 103, St Petersburg, FL, 33705-1348
institution
Provider Profile Details
NPI Number
1912056540
Provider Name
Lynne M. Ellis, Md,pa
Credential
Provider Entity Type
Organization
Address
1111 7Th Ave N Ste 103, St Petersburg, FL, 33705-1348
Phone Number
727-822-5393
Fax Number
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
262210600 05 FL
institution
Provider Business Practice Location Address Details
Address
1111 7Th Ave N Ste 103
City
State
Zip
33705-1348
Phone Number
727-822-5393
Fax Number
person
Provider Business Mailing Address Details
Address
1111 7Th Ave N Ste 103
City
State
Zip
33705-1348
Phone Number
727-822-5393
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
46897 (Florida)
Definition
Definition to come...
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