Search › Florida › 311ZA0620X
Juantez Ellis
NPI 1841106309 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1901 Raiford Rd
Starke, FL 32091 - Phone
- (267) 918-7619
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida