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ELLIS FORT, PA-C
PA-C
Physician Assistant
NPI: 1497060396IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA9105205(FL)
Education
OTHER
Class of 2009
Contact & Hours
- Address
- 502 PALMETTO ST
NEW SMYRNA BEACH, FL 32168 - Phone
- (386) 957-1854
Quick Facts
- NPI
- 1497060396
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 17
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