Individual provider · Type 1 NPI

Emily Ellis, PA

Medical Physician Assistant · Orlando, FL

NPI number 1487056842 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Fax (407) 303-2760

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice locations

  • 2600 Westhall Ln, Maitland, FL 32751-7102 · (407) 200-2733
  • 2 Tampa General Cir, Tampa, FL 33606-3571 · (813) 821-8038
  • 5430 Fredericksburg Rd, San Antonio, TX 78229-3539 · (210) 297-4000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian 133VN1004XND6061 (FL)
Physician Assistant 363A00000XPA14548 (TX)
Medical Physician Assistant Primary 363AM0700XPA9112117 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1487056842

Emily Ellis, PA's National Provider Identifier is 1487056842, issued on Sep 17, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Jul 22, 2025.