Individual
BRYAN CHARLES ELLERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
1504 BAY RD, APT C3003, MIAMI BEACH, FL 33139-3399
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME115167
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME115167
FL
Other
Enumeration date
08/19/2010
Last updated
07/09/2025
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