Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMETRIC GAZZARA ELLIS
Active Sole ProprietorDEMETRIC GAZZARA ELLIS is a In Home Supportive Care Agency healthcare provider located in JACKSONVILLE, Florida. NPI 1154953008 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1154953008
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2020 (6.5563873656398 yrs)
- Last Updated
- Feb 9, 2020
- License
-
30402 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 LANSDOWNE DR APT 215JACKSONVILLE, FL, 322115151Browse FL providers · Browse ZIP 32211
- Phone
- 9044440180
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| TONYA DELANE TAYLOR | — | 1184051120 |
| ADRIENNE JAMES | — | 1992188080 |
| RANDOLPH ASHLEY | — | 1649630807 |
| MS. VALERIE MICHELLE VINSON-ANDERSON | — | 1063960284 |
| VANESSA ALICIA CHAPMAN | — | 1740727767 |
| TAMIKA GLOSTON | — | 1023543881 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.