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General NPI Number Information
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NPI Number | 1790610202
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Entity Type | Organization
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Legal Business Name | HONOR HEALTH LLC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 917-454-3337
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Fax |
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Provider Business Mailing Address
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Address Line | 6444 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-2891
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | JOSEPH ELLYSON
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Credential |
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Telephone | 917-454-3337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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