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Contact Information

EMILY ELLIS, PA
601 E ROLLINS ST
ORLANDO, FL32803-1248
 Phone: 407-303-2528
 Fax: 407-303-2760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EMILY ELLIS · (Female)

NPI Number 1487056842
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/17/2014
Last updated 07/22/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ND6061
  • FL License # PA9112117
  • TX License # PA14548
  • FL Medicaid 105187500
  • FL Other 5ILU8 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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