Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLENTON FAMILY PRACTICE DIRECT PLLC
Active OrganizationELLENTON FAMILY PRACTICE DIRECT PLLC is a Family Medicine organization located in ELLENTON, Florida. NPI 1124471503 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ELLENTON, FL
Registration Details
- NPI Number
- 1124471503
- Provider Type
- Organization
- NPI Issued
- Jul 20, 2016 (10.070283525251 yrs)
- Last Updated
- Mar 7, 2023
- License
-
PA9102767 (FL)
Practice Information
- Address
-
907 25TH DR EELLENTON, FL, 342222053Browse FL providers · Browse ZIP 34222
- Phone
- 9413218299
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.