Individual provider · Type 1 NPI

Tadecher Ellis, PA-C

Physician Assistant · Sunrise, FL

NPI number 1891199972 Active

Practice location

9711 W Oakland Park Blvd
Sunrise, FL 33351-7013

Call (872) 231-3162 Map

Mailing address

PO Box 22239
New York, NY 10087-0001

Other practice locations

  • 5951 Colonial Dr, Margate, FL 33063-5661 · (872) 231-3162

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9108390 (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…

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About NPI 1891199972

Tadecher Ellis, PA-C's National Provider Identifier is 1891199972, issued on Oct 17, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sunrise, FL. The record was last updated on Nov 21, 2025.