Individual
AARON HAKAN ELLINGBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 798-6513
Mailing address
2020 59TH ST W, BRADENTON, FL 34209-4604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73385
AZ
Other
Enumeration date
04/05/2021
Last updated
09/18/2024
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