CARL RICHARD ELLIS DPM is a podiatrist in Crestview, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CARL RICHARD ELLIS DPM NPI is 1992985782. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
416 JUNIPER DR
CRESTVIEW, FL
ZIP 32536-223
Phone: (850) 682-1778
The provider's authorized official is Carl Richard Ellis .
The authorized official title is Owner and has the following contact phone number (850) 682-1778.
The enumeration date for this NPI number is 11/8/2007 and was last updated on 9/14/2011.