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NPI Code Detail

MEDICARE: CHRISTOPHER ELLIS

MEDICARE: CHRISTOPHER ELLIS
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
1246ZC0007XSurgical AssistantFL

General Provider Information

NPI Number : 1467286864
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ELLIS
Provider Business Mailing Address
First Line : PO BOX 936535
Second Line :
City : ATLANTA
State : GA
Zip : 31193-6535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-791-6146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 07/21/2025

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Directions to “ CHRISTOPHER ELLIS ” Practice Location

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