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

Lynne M. Ellis, MD, PA

Organization Primary Care Clinic/Center · NPI 1912056540

Lynne M. Ellis, MD, PA is a Primary Care Clinic/Center in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 7th Ave N Ste 103
St Petersburg, FL 33705-1348
Phone: (727) 822-5393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 46897 (FL)

Record details

NPI number1912056540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynne Ellis — President · (727) 822-5393
NPI enumeratedJanuary 10, 2007
Last updated in NPPESSeptember 25, 2012
Mailing address1111 7th Ave N Ste 103, St Petersburg, FL 33705-1348

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