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

Ellenton Family Practice Direct PLLC

Organization Family Medicine Physician · NPI 1124471503

Ellenton Family Practice Direct PLLC is a Family Medicine Physician in Ellenton, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

907 25th Dr E
Ellenton, FL 34222-2053
Phone: (941) 321-8299
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence PA9102767 (FL)

Record details

NPI number1124471503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Hervig — Office Manage And Partner · (941) 730-5326
NPI enumeratedJuly 20, 2016
Last updated in NPPESMarch 7, 2023
Mailing address907 25th Dr E, Ellenton, FL 34222-2053

Other providers in Ellenton