JONATHAN MARK ELLEN

ST. PETERSBURG, FL
NPI1871533547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME110221)
Additional Taxonomies208000000X Pediatrics
(Licence: MD  D54679)
Enumeration Date2006-06-08
Last Update Date2014-12-29
Business Address
Dr. JONATHAN MARK ELLEN MD
501 6TH AVE SOUTH
ST. PETERSBURG, FL 33701
Phone number: 727-767-6873
Mailing Address
Dr. JONATHAN MARK ELLEN MD
601 5TH STREET SOUTH
ST. PETERSBURG, FL 33701
Phone number: 727-767-6873
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