Individual provider · Type 1 NPI

Marykate H. Vellis, PA-C

Medical Physician Assistant · Gainesville, FL

NPI number 1720060833 Active

Practice location

6420 W Newberry Rd, East Wing, Suite 100
Gainesville, FL 32605-4308

Call (352) 332-3900 Map

Fax (352) 332-5009

Mailing address

PO Box 102222
Atlanta, GA 30368-2222

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2618 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1720060833

Marykate H. Vellis, PA-C's National Provider Identifier is 1720060833, issued on Nov 15, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, FL. The record was last updated on Jul 10, 2026.