Robert G Ellison Jr Md P A in Jacksonville - Specialist
Robert G Ellison Jr Md P A - NPI 1699979203
Robert G Ellison Jr Md P A is a Specialist in Jacksonville, Florida. Robert G Ellison Jr Md P A practices all healthcare services and medical treatments related to Specialist. The NPI Number for Robert G Ellison Jr Md P A is 1699979203. The last update date is 2007-08-10.
Robert G Ellison Jr Md P A's current location address is 836 Prudential Dr, Jacksonville, Florida. You can contact this provider via phone number 9043887521. The mailing address for Robert G Ellison Jr Md P A is 836 Prudential Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert G Ellison Jr Md P A |
|---|---|
| Address | 836 Prudential Dr, Jacksonville, Florida |
| Phone Number | 9043887521 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ellison G Robert |
| Credentials | MD |
| Telephone Number | 9043887521 |
NPI Number Detail
| NPI Number | 1699979203 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-08-10 |
Provider Mailing Address Detail
| Address | 836 Prudential Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078334 |
| Phone Number | 9043887521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME39556 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 434438800 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert G Ellison Jr Md P A by the Centers for Medicare & Medicaid Services?
The Robert G Ellison Jr Md P A has been issued the NPI (National Provider Identifier) 1699979203 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert G Ellison Jr Md P A is physically located?
The Robert G Ellison Jr Md P A is physically situated at the following address: 836 Prudential Dr, Jacksonville, FL, 322078334.
What is Robert G Ellison Jr Md P A's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert G Ellison Jr Md P A is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date was the 1699979203 assigned to Robert G Ellison Jr Md P A?
The Robert G Ellison Jr Md P A was issued its 1699979203 on 2007-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Robert G Ellison Jr Md P A most recently updated?
The details pertaining to the Robert G Ellison Jr Md P A, including its address, specialty, and other relevant information, were last refreshed on 2007-08-10.