NPI 1376883694

Sammy David Ellis, MASSAGETHERAPIST

Practitioner Home Health Aide Tamarac, FL

Practice location

Address: 8302 NW 75th Ave, Tamarac, FL 33321-4833
Phone: (954) 240-1927

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence MA24715 (FL)

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Registry record

NPI: 1376883694
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2013
Record last updated: 23 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.