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

Ellie Frazey, MD

Individual provider Neurology Physician · NPI 1003472366

Ellie Frazey, MD is a Neurology in Fort Myers, Florida. Graduated from University of South Florida College of Medicine in 2019, 7 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Oregon.

Years since qualifying
7
Trained at
University of South Florida College of Medicine
Licensed in
FL, OR
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone: (239) 208-2212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 — (813) 974-2201

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD215161 (OR)
Neurology Physician Taxonomy 2084N0400X · Licence ME161342 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003472366
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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