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Ellison Ellison, MD
Student in an Organized Health Care Education/Training Program in Pensacola, Florida
NPI 1871115493

Ellison Ellison is a Student in an Organized Health Care Education/Training Program based in Hickory, FL. Ellison Ellison practices in Pensacola, FL and has the professional credentials of MD. The NPI Number for Ellison Ellison is 1871115493 and holds a License No. 2024-00280 (Florida).

The current practice location address for Ellison Ellison is 1657 Trinity Dr, Pensacola, FL and can be reached out via phone at 850-416-2400 and via fax at 850-416-2330.

Location: 1657 Trinity Dr, Pensacola, FL, 28602-1385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871115493
Provider Name
Ellison Ellison
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1657 Trinity Dr, Pensacola, FL, 28602-1385
Phone Number
850-416-2400
Fax Number
850-416-2330
Provider Enumeration Date
05/18/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1657 Trinity Dr
City
Pensacola
State
Florida
Zip
32504-5708
Phone Number
850-416-2400
Fax Number
850-416-2330
person
Provider Business Mailing Address Details
Address
1657 Trinity Dr
City
Pensacola
State
Florida
Zip
32504-5708
Phone Number
850-416-2400
Fax Number
850-416-2330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2024-00280 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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