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Organization
ANDREW S ELLOWITZ M D P A
Active
Organization
ANDREW S ELLOWITZ M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ELLOWITZ MD (OWNER)
(954) 583-8130
Entity
Organization
Contact information
Practice address
1776 N PINE ISLAND RD STE 216, PLANTATION, FL 33322-5223
(954) 583-8130
(954) 583-8956
Mailing address
1776 N PINE ISLAND RD STE 216, PLANTATION, FL 33322-5223
(954) 583-8130
(954) 583-8956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME72589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254410500
—
FL
01
—
42325
BCBS PROVIDER NUMBER
FL
Enumeration date
09/29/2006
Last updated
07/26/2024
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