ELLIE FRAZEY

FORT MYERS, FL
NPI1003472366
Former NameELHAAM IRANMANESH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: OR  MD215161)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  ME161342)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-13
Last Update Date2024-01-04
Business Address
ELLIE FRAZEY MD
11215 METRO PKWY STE 1
FORT MYERS, FL 33966-1206
Phone number: 239-208-2212
Mailing Address
ELLIE FRAZEY MD
11215 METRO PKWY STE 1
FORT MYERS, FL 33966-1206
Phone number: 813-842-4723