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Robert G Ellison Jr Md P A
Specialist in Jacksonville, Florida
NPI 1699979203

Robert G Ellison Jr Md P A is a Specialist based in Jacksonville, FL. Robert G Ellison Jr Md P A practices in Jacksonville, FL. The NPI Number for Robert G Ellison Jr Md P A is 1699979203 and holds a License No. ME39556 (Florida).

The current practice location address for Robert G Ellison Jr Md P A is 836 Prudential Dr, Jacksonville, FL and can be reached out via phone at 904-388-7521.

Location: 836 Prudential Dr, Jacksonville, FL, 32207-8334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699979203
Provider Name
Robert G Ellison Jr Md P A
Credential
Provider Entity Type
Organization
Address
836 Prudential Dr, Jacksonville, FL, 32207-8334
Phone Number
904-388-7521
Fax Number
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0434438800 05 FL
institution
Provider Business Practice Location Address Details
Address
836 Prudential Dr
City
Jacksonville
State
Florida
Zip
32207-8334
Phone Number
904-388-7521
Fax Number
person
Provider Business Mailing Address Details
Address
836 Prudential Dr
City
Jacksonville
State
Florida
Zip
32207-8334
Phone Number
904-388-7521
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME39556 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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