Provider First Line Business Practice Location Address:
DR. NATALIE ELLIS
Provider Second Line Business Practice Location Address:
2520 CENTRAL AVE.
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33712-1862
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-203-4207
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/09/2006