Individual provider · Type 1 NPI

Robert G. Ellison Jr., MD

Vascular Surgery Physician · Jacksonville, FL

NPI number 1477571008 Active

Practice location

836 Prudential Dr, Suite 1405
Jacksonville, FL 32207-8334

Call (904) 388-7521 Map

Fax (904) 388-3541

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XME39556 (FL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1477571008

Robert G. Ellison Jr., MD's National Provider Identifier is 1477571008, issued on Jul 18, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.