Individual
ALEX BLAIR ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 W COPELAND DR FL 1, ORLANDO, FL 32806-2002
(321) 843-8900
(321) 843-8916
Mailing address
89 W COPELAND DR FL 1, ORLANDO, FL 32806-2002
(321) 843-8900
(321) 843-8916
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME174405
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
07/21/2025
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