TINA R ELLISON

PALM COAST, FL
NPI1033196571
Former NameTINA R HASROUNI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9117754)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OH  50-001637)
Enumeration Date2005-12-27
Last Update Date2024-09-17
Business Address
TINA R ELLISON PA-C
61 MEMORIAL MEDICAL PKWY STE 1-800A
PALM COAST, FL 32164-5983
Phone number: 386-302-1365
Mailing Address
TINA R ELLISON PA-C
PO BOX 946383
ATLANTA, GA 30394-6383
Phone number: