KOBE ELLIS KOBE ELLIS NPI 1881992030

NPI Information

NPI: 1881992030
Provider Name: KOBE ELLIS, KOBE ELLIS
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
9283 SAN JOSE BLVD
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 568-5242
Get Directions

Kobe Ellis, KOBE ELLIS is a customized equipment durable medical equipment medical supplies in Jacksonville, FL. Kobe Ellis, KOBE ELLIS NPI is 1881992030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9283 SAN JOSE BLVD
JACKSONVILLE, FL
ZIP 32257-584
Phone: (904) 568-5242

The enumeration date for this NPI number is 3/10/2011 and was last updated on 2/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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