Male or Other

Bryan C. Ellerson M.D.

Psychiatry Physician in Hialeah, FL(View on Map)

Full Name

Bryan Charles Ellerson M.D.

NPI Number

1023324647

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/19/2010

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME115167

Contact
Information

Purpose

Mailing
Location

Address

1504 BAY RD
4175 W 20TH AVE

City

Miami Beach
Hialeah

State

FL
FL

Postal Code

33139-3399
33012-5874

Country

US
US

Telephone Number

N/A
(305) 825-0300

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

Data last updated by provider on 03/02/2021

Provider Address

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