David J Ellingson is a Surgical in Tavares, Florida. David J Ellingson practices all healthcare services and medical treatments related to Surgical. The NPI Number for David J Ellingson is 1144228685. The last update date is 2014-04-01.
David J Ellingson's current location address is 3120 Waterman Way, Tavares, Florida. You can contact this provider via phone number 3523431216 and fax number 3523431582. The mailing address for David J Ellingson is 3120 Waterman Way, Tavares, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J Ellingson |
|---|---|
| Address | 3120 Waterman Way, Tavares, Florida |
| Phone Number | 3523431216 |
| Fax Number | 3523431582 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1144228685 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2014-04-01 |
Provider Mailing Address Detail
| Address | 3120 Waterman Way |
|---|---|
| City | Tavares |
| State | Florida (FL) |
| Post Code | 327785252 |
| Phone Number | 3523431216 |
| Fax Number | 3523431582 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9102690 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291796300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David J Ellingson by the Centers for Medicare & Medicaid Services?
The David J Ellingson has been issued the NPI (National Provider Identifier) 1144228685 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the David J Ellingson's physical address?
The David J Ellingson is physically located at 3120 Waterman Way, in the city of Tavares, FL, with the postal code 327785252.
What is the area of specialization for David J Ellingson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David J Ellingson is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.
On what date did David J Ellingson receive its 1144228685 assignment from the Centers for Medicare & Medicaid Services?
The David J Ellingson was assigned its 1144228685 on 2005-07-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to David J Ellingson most recently updated or refreshed?
The details pertaining to the David J Ellingson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-04-01.