Male or Other

Troy T. Ellis PHYSICIAN ASSISTANT

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Troy Townsend Ellis PHYSICIAN ASSISTANT

NPI Number

1104476464

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/18/2019

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9112544

Contact
Information

Purpose

Mailing
Location

Address

915 W MONROE ST STE 200
915 W MONROE ST STE 200

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32204-1177
32204-1177

Country

US
US

Telephone Number

(904) 384-2240
(904) 384-2240

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/18/2019

Provider Address

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