Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW S ELLIS, MD
Active Sole ProprietorMATTHEW S ELLIS, MD is a 207PE0005X healthcare provider located in GAINESVILLE, Florida. NPI 1871540716 is currently active in the NPPES registry. Verify at CMS.
207PE0005X · GAINESVILLE, FL
Registration Details
- NPI Number
- 1871540716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2006 (20.231079158079 yrs)
- Last Updated
- Aug 5, 2020
- Licenses
-
ME96520 (FL)ME96520 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6400 W NEWBERRY RD STE 104GAINESVILLE, FL, 326054399Browse FL providers · Browse ZIP 32605
- Phone
- 3523335918
- Fax
- 3523334684
- Primary Specialty
-
207PE0005X
207PE0005X
- Additional Specialty
- Family Medicine
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.