Individual provider · Type 1 NPI
Deirdre Woolsey Ellis, PA
Physician Assistant · Port Canaveral, FL
Practice location
8600 Astronaut Blvd
Port Canaveral, FL 32920-4306
Mailing address
1366 44th St
Sarasota, FL 34234-4628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9112912 (FL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
About NPI 1609945179
Deirdre Woolsey Ellis, PA's National Provider Identifier is 1609945179, issued on Nov 7, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Canaveral, FL. The record was last updated on May 19, 2026.