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Dr. Pamela I Ellsworth, MD
Pediatric Urology Physician in Orlando, Florida
NPI 1417948647

Pamela I Ellsworth is a Pediatric Urology Physician based in Jacksonville, FL and is specialized in Pediatric Urology. Pamela I Ellsworth practices in Orlando, FL and has the professional credentials of MD. The NPI Number for Pamela I Ellsworth is 1417948647 and holds a License No. 150422 (Florida).

The current practice location address for Pamela I Ellsworth is 13535 Nemours Pkwy, Orlando, FL and can be reached out via phone at 407-567-4000 and via fax at 407-567-5924. You can also correspond with Pamela I Ellsworth through the mailing address at 10140 CENTURION PKWY N, JACKSONVILLE, FL - 32256-0532 (mailing address contact number: 904-697-4127).

Location: 13535 Nemours Pkwy, Orlando, FL, 32256-0532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417948647
Provider Name
Pamela I Ellsworth
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
13535 Nemours Pkwy, Orlando, FL, 32256-0532
Phone Number
407-567-4000
Fax Number
407-567-5924
Provider Enumeration Date
11/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018993600 05 FL
31017 01 RI BLUE SHIELD
3158667 05 MA
PE45993 05 RI
institution
Provider Business Practice Location Address Details
Address
13535 Nemours Pkwy
City
Orlando
State
Florida
Zip
32827-7402
Phone Number
407-567-4000
Fax Number
407-567-5924
person
Provider Business Mailing Address Details
Address
10140 Centurion Pkwy N
City
Jacksonville
State
Florida
Zip
32256-0532
Phone Number
904-697-4127
Fax Number
904-697-5102
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
ME129642 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
Pediatric Urology
Taxonomy
2088P0231X
License No.
150422 (Massachusetts)
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
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