Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ellis Integrative Family Practice Inc

Organization Family Medicine Physician · NPI 1174101562

Ellis Integrative Family Practice Inc provides Family Medicine Physician services in Tavares, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1865 Nightingale Ln Ste B
Tavares, FL 32778-4360
Phone: (352) 457-1936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174101562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gretta Ellis — President · (352) 457-1936
NPI enumeratedMarch 29, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing address1865 Nightingale Ln, Tavares, FL 32778-4360

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