ELLEN DAVIS

LAKELAND, FL
NPI1194384362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9112245)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-06-11
Last Update Date2019-11-13
Business Address
ELLEN DAVIS
130 PABLO ST
LAKELAND, FL 33803-3818
Phone number: 863-284-5906
Mailing Address
ELLEN DAVIS
1324 LAKELAND HILLS BLVD MANAGED CARE DEPT
LAKELAND, FL 33805-4543
Phone number: