Demetric Gazzara Ellis
Demetric Gazzara Ellis is an In Home Supportive Care Agency in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
1600 Lansdowne Dr Apt 215Jacksonville, FL 32211-5151
Phone: (904) 444-0180
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 30402 (FL) |
|---|
Record details
| NPI number | 1154953008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2020 |
| Last updated in NPPES | February 9, 2020 |
| Certification date | February 9, 2020 |
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