Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Tadecher Ellis, PA-C

Individual provider Physician Assistant · NPI 1891199972

Miss. Tadecher Ellis, PA-C is a Physician Assistant in Sunrise, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9711 W Oakland Park Blvd
Sunrise, FL 33351-7013
Phone: (872) 231-3162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5951 Colonial Dr, Margate, FL 33063-5661 — (872) 231-3162

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108390 (FL)

Record details

NPI number1891199972
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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