Robert G Ellison in Jacksonville - Vascular Surgery

Robert G Ellison - NPI 1477571008

Robert G Ellison is a Vascular Surgery in Jacksonville, Florida. Robert G Ellison practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Robert G Ellison is 1477571008. The last update date is 2007-07-08.

Robert G Ellison's current location address is 836 Prudential Dr, Jacksonville, Florida. You can contact this provider via phone number 9043887521 and fax number 9043883541. The mailing address for Robert G Ellison is 836 Prudential Dr, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert G Ellison
Address 836 Prudential Dr, Jacksonville, Florida
Phone Number 9043887521
Fax Number 9043883541
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1477571008
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 836 Prudential Dr
City Jacksonville
State Florida (FL)
Post Code 322078334
Phone Number 9043887521
Fax Number 9043883541

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No ME39556
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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FAQs about Robert G Ellison

What is the unique 10-digit identification code issued to Robert G Ellison by the Centers for Medicare & Medicaid Services?

The Robert G Ellison has been assigned the NPI (National Provider Identifier) 1477571008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Robert G Ellison is physically located?

The Robert G Ellison is situated at the following address: 836 Prudential Dr, Jacksonville, FL 322078334.

What is Robert G Ellison's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert G Ellison's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.

On what date did the Robert G Ellison receive the assignment of its 1477571008 from the Centers for Medicare & Medicaid Services?

The Robert G Ellison was issued its 1477571008 by the Centers for Medicare & Medicaid Services on 2006-07-18.

When was the information related to Robert G Ellison most recently updated or refreshed?

The details pertaining to the Robert G Ellison, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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