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1609943174
STANLEY BRENT ELLIS
APOPKA, FL
NPI
1609943174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME 56698)
Enumeration Date
2006-11-29
Last Update Date
2007-07-09
Business Address
-- STANLEY BRENT ELLIS M.D.
1519 W KEENE RD
APOPKA, FL 32703-8416
Phone number: 407-880-0439
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Mailing Address
-- STANLEY BRENT ELLIS M.D.
1519 W KEENE RD
APOPKA, FL 32703-8416
Phone number: 407-880-0439
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