KEISHA ELLIS

LAKELAND, FL
NPI1366887861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: FL  ME154963)
Additional Taxonomies207R00000X Internal Medicine
(Licence: FL  ME154963)
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: GA  080549)
Enumeration Date2013-05-10
Last Update Date2022-09-18
Business Address
KEISHA ELLIS
300 PARKVIEW PL
LAKELAND, FL 33805-4550
Phone number: 863-687-1300
Mailing Address
KEISHA ELLIS
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1100