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1144228685
DAVID J ELLINGSON
TAVARES, FL
NPI
1144228685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9102690)
Enumeration Date
2005-07-08
Last Update Date
2024-06-28
Business Address
DAVID J ELLINGSON P.A.
3310 WATERMAN WAY
TAVARES, FL 32778-5250
Phone number: 352-343-1216
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Mailing Address
DAVID J ELLINGSON P.A.
PO BOX 935921
ATLANTA, GA 31193-5921
Phone number:
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