Most Relevant Information
Provider Data
| NPI Number: | 1003226556 |
| Provider Name: | RICHARD LUKE ELLOWAY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | ME125695 |
Most Important Dates
| Enumeration Date: | 05/06/2014 |
| Last Updated: | 09/10/2019 |
Provider Practice Location
7751 KINGSPOINTE PKWY STE 114
ORLANDO
FL
32819
Practice Location Phone/Fax
| Phone: | 4075819672 |
| Fax: | 4075819673 |
Provider Mailing Location
483 N SEMORAN BLVD STE 104B
WINTER PARK
FL
327923800
Provider Mailing Phone/Fax
| Phone: | 4076307330 |
| Fax: | 4076308283 |
Suggested EMR
Family Practice EMR