525 TECHNOLOGY PARK STE 109
LAKE MARY, FL 32746-7107 US Accepts Medicare Payment
PECOS Enrolled
Overview
Ellena Lois Boddie is a Hospitalist in the LAKE MARY area and has over 25 years of experience. Ellena Lois Boddie primary office location is at 525 TECHNOLOGY PARK STE 109 and new patients are welcome to contact this healthcare provider for an appointment. She attended Northwestern University Feinberg Medical School and graduated 2000 The NPI number is 1689673790 and the information was updated approximately 1 year ago.
Ellena Lois Boddie is part of two medical groups, including GLUTALITY PROVIDER GROUP PA.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 00041414 | AL |
| 01057385A | IN |
| 036116967 | IL |
| 13001A | WY |
| 4301502442 | MI |
| M15405 | ID |
| ME146842 | FL |
| TM2020-0627 | NM |
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