ELLEN ROARK BASILE

ORLANDO, FL
NPI1174851646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207LP3000X Anesthesiology Pediatric Anesthesiology
(Licence: FL  OS18251)
Additional Taxonomies207L00000X Anesthesiology
(Licence: PA  OS014028)
207L00000X Anesthesiology
(Licence: PA  OTO11386)
207L00000X Anesthesiology
(Licence: OK  4852)
Enumeration Date2009-11-21
Last Update Date2024-04-30
Business Address
DR. ELLEN ROARK BASILE D.O.
6535 NEMOURS PKWY
ORLANDO, FL 32827-7884
Phone number: 407-567-4000
Mailing Address
DR. ELLEN ROARK BASILE D.O.
10140 CENTURION PKWY N
JACKSONVILLE, FL 32256-0532
Phone number: 904-697-4100