EVAN ELLENBERG

PANAMA CITY BEACH, FL
NPI1225420334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  PA9108571)
Enumeration Date2015-02-26
Last Update Date2021-05-27
Business Address
EVAN ELLENBERG PA-C
12111 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407-2609
Phone number: 850-588-1066
Mailing Address
EVAN ELLENBERG PA-C
12111 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407-2609
Phone number: 850-588-1036