Dwayne Kemar Ellis

Counselor · Marathon, FL

Individual Active NPI

NPI number 1114527330

Practice location

3000 41st Street Ocean
Marathon, FL 33050-2373
Phone
(305) 433-0576

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NPI record

NPI
1114527330
Entity type
Individual (Type 1)
Enumeration date
October 27, 2020
Last updated
October 27, 2020
Certified
October 27, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

About Dwayne Ellis

Dwayne Kemar Ellis is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 3000 41st Street Ocean, Marathon, FL 33050-2373. The NPI number 1114527330 was assigned on October 27, 2020 and the record was last updated on October 27, 2020.

Frequently asked questions

What is the NPI number of Dwayne Kemar Ellis?

The NPI number is 1114527330.

What is the phone number of Dwayne Ellis?

The phone number listed for the practice location is (305) 433-0576.

Where is Dwayne Ellis located?

3000 41st Street Ocean, Marathon, FL 33050-2373.

What is the taxonomy code for Dwayne Ellis?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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