Provider Demographics
NPI:1235017500
Name:ELLIE'S WORLD PPEC, LLC
Entity type:Organization
Organization Name:ELLIE'S WORLD PPEC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISBET
Authorized Official - Middle Name:
Authorized Official - Last Name:FUNDORA PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-352-2850
Mailing Address - Street 1:210 NE 24TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-4214
Mailing Address - Country:US
Mailing Address - Phone:786-352-2850
Mailing Address - Fax:
Practice Address - Street 1:4265 LAURA ST
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-2836
Practice Address - Country:US
Practice Address - Phone:786-352-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care