Individual
PAUL STRIBLING ELLISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100210 OVERSEAS HWY, STE 3, KEY LARGO, FL 33037-2526
(305) 453-3633
(305) 453-3637
Mailing address
100210 OVERSEAS HWY, STE 3, KEY LARGO, FL 33037-2526
(305) 453-3633
(305) 453-3637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0064771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379646900
—
FL
Enumeration date
08/19/2005
Last updated
03/01/2022
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