MISS Tadecher Ellis, PA-C

NPI #1891199972 in Sunrise, Florida

Provider Information

NPI Number
1891199972
Entity Type
Individual
Name
MISS Tadecher Ellis, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 17, 2014
Last Updated
Nov 21, 2025

Practice Location

Address
9711 W OAKLAND PARK BLVD
State
Florida
ZIP Code
33351-7013
Phone
(872) 231-3162

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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