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Ellenton Family Practice Direct Pllc

Family Medicine Physician in Ellenton, FL · enumerated 2016 · authorized official David Hervig, Office Manage and Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124471503

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Registry record

Entity type Organization (Type 2)
Legal business name Ellenton Family Practice Direct Pllc
Practice address 907 25th Dr E, Ellenton, FL, 34222
Enumeration date Jul 20, 2016
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License PA9102767 (FL) Primary

Authorized official

Name David Hervig
Title Office Manage and Partner

Other identifiers

Identifier Type State Issuer
OS12316 Other FL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.
Where is Ellenton Family Practice Direct Pllc located?
The practice location on file with NPPES is in Ellenton, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.