Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Richard Ellis DPM

Organization Podiatrist · NPI 1992985782

Carl Richard Ellis DPM is a Podiatrist in Crestview, Florida. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

416 Juniper Dr
Crestview, FL 32536-9223
Phone: (850) 682-1778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1992985782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Ellis — Owner · (850) 682-1778
NPI enumeratedNovember 8, 2007
Last updated in NPPESSeptember 14, 2011
Mailing address416 Juniper Dr, Crestview, FL 32536-9223

Other providers in Crestview