DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELLEN GRACE WISE

MEDICARE: ELLEN GRACE WISE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1144176538
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN GRACE WISE
Provider Business Mailing Address
First Line : 9801 BELVEDERE RD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-3640
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9801 BELVEDERE RD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-3640
Country : US
Telephone Number : 561-273-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

Similar Medicare Providers

1366398703 — MR. ALEXANDER PLASS CHAILLE
Practice Location Address:
9801 BELVEDERE RD
ROYAL PALM BEACH, FL
33411-3640
Practice Phone: 561-273-6500
Practice Fax:
1154277101 — LESLY BELTRAN
Practice Location Address:
9801 BELVEDERE RD
ROYAL PALM BEACH, FL
33411-3640
Practice Phone: 561-273-6500
Practice Fax:
1457206799 — ALICE LOUISE CAPLAN
Practice Location Address:
9801 BELVEDERE RD
ROYAL PALM BEACH, FL
33411-3640
Practice Phone: 561-273-6500
Practice Fax:
1528913761 — MOSS HANNON PURCELL
Practice Location Address:
9801 BELVEDERE RD
ROYAL PALM BEACH, FL
33411-3640
Practice Phone: 561-273-6500
Practice Fax: 561-832-5316
1487509410 — CAMERON OWEN PA
Practice Location Address:
9801 BELVEDERE RD
ROYAL PALM BEACH, FL
33411-3640
Practice Phone: 561-273-6500
Practice Fax:
1205781556 — MR. VINCENT CARTA III
Practice Location Address:
9801 BELVEDERE RD
ROYAL PALM BEACH, FL
33411-3640
Practice Phone: 727-599-6706
Practice Fax:

Directions to “ ELLEN GRACE WISE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.