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Individual

DR. ELLIS CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1300 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4884
(772) 302-3977
(772) 673-8502
Mailing address
1700 SE HILLMOOR DR STE 407, PORT ST LUCIE, FL 34952-7561
(772) 335-9600
(772) 398-7971

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061363
IL
207RC0000X
Cardiovascular Disease Physician
ME139552
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME139552
FL

Other

Enumeration date
07/18/2012
Last updated
04/28/2023
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