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1174011217
ERIKA MARIE ELLIS
BROOKSVILLE, FL
NPI
1174011217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
ERIKA MARIE ELLIS MD
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613-5409
Phone number: 352-596-6632
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Mailing Address
ERIKA MARIE ELLIS MD
950 NW 11TH ST APT 3B
MIAMI, FL 33136-3040
Phone number: 760-382-5450
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