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Individual

ELLEN M ALTENBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6300 N WICKHAM RD STE 132B, MELBOURNE, FL 32940-2023
(321) 425-6900
(321) 802-5599
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0073871
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023468700
FL
Enumeration date
02/17/2006
Last updated
10/01/2025
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