DAVID J ELLINGSON PA

FLORIDA HOSPITAL MEDICAL GROUP INC

Dr DAVID J ELLINGSON PA is a male medical professional, specializing in Physician Assistant. He graduated in 1993.

Contact

FLORIDA HOSPITAL MEDICAL GROUP INC

3120 WATERMAN WAY
TAVARES
FL
327785252

Tel: 3523431216

DAVID J ELLINGSON PA Information

Npi 1144228685
Pac Id 0547255309
Professional Enrollment Id I20040420000264
Last Name ELLINGSON
First Name DAVID
Middle Name J
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 1993
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FLORIDA HOSPITAL MEDICAL GROUP INC
Group Practice Pac Id 0749186153
Number Of Group Practice Members 788
Line 1 Street Address 3120 WATERMAN WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TAVARES
State FL
Zip Code 327785252
Phone Number 3523431216
Hospital Affiliation Ccn 1 100057
Hospital Affiliation Lbn 1 FLORIDA HOSPITAL WATERMAN
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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