LYNNE M. ELLIS, MD,PA
NPI 1912056540
Clinic/Center - Primary Care in St Petersburg, FL
About Lynne M. Ellis, Md,pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYNNE M. ELLIS, MD,PA (NPI 1912056540) is a healthcare organization registered as a primary care in St Petersburg, Florida and active in the NPI registry since January 2007. The organization lists Lynne M Ellis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lynne M. Ellis, Md,pa's NPI number?
The NPI number for Lynne M. Ellis, Md,pa is 1912056540. It was assigned to this organization in the NPPES registry on January 10, 2007.
Where is Lynne M. Ellis, Md,pa located?
Lynne M. Ellis, Md,pa is located at 1111 7th Ave N Ste 103, St Petersburg, FL 33705. The listed phone number is (727) 822-5393.
What is Lynne M. Ellis, Md,pa's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Lynne M. Ellis, Md,pa was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lynne M. Ellis, Md,pa · NPI 1912056540
Primary Care organization in St Petersburg, Florida. Organization record, active in the CMS NPPES registry since January 10, 2007.
## Identity
- **NPI:** 1912056540 (Entity type: Organization)
- **Enumerated:** January 10, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Lynne Ellis, PRESIDENT
## Practice location
- **Address:** 1111 7TH AVE N STE 103, St Petersburg, FL 33705-1348
- **Phone:** (727) 822-5393
## Record status
- **NPPES last updated:** September 25, 2012
- **Other identifiers:** Medicaid 262210600 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1912056540) · Data from the CMS NPPES public registry.