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

Mrs. Laurie Ellis, PA-C

Individual provider Medical Physician Assistant · NPI 1962508754

Mrs. Laurie Ellis, PA-C is a Physician Assistant in Hallandale Beach, Florida. Qualified in 1986, 40 years ago. Practices with South Broward Hospital District, a 665-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Maryland.

Years since qualifying
40
Licensed in
FL, MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1750 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4611
Phone: (954) 276-9700
Fax: (954) 276-9725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110434 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0000980 (MD)

Record details

NPI number1962508754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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