Kobe Ellis, KOBEELLIS
Kobe Ellis, KOBEELLIS is a Customized Equipment (DME) in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
9283 San Jose BlvdJacksonville, FL 32257-5584
Phone: (904) 568-5242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3745 Southside Blvd, Jacksonville, FL 32216-4637 — (904) 568-5242
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|
Record details
| NPI number | 1881992030 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | KOBEELLIS |
| Sole proprietor | Yes |
| NPI enumerated | March 10, 2011 |
| Last updated in NPPES | February 23, 2021 |
| Certification date | February 23, 2021 |
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