Individual
DR. PATRICK MICHAEL ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8415 BAYSHORE BLVD, TAMPA, FL 33621-1607
(813) 827-9548
(813) 828-5731
Mailing address
1329 LUSITANA ST 501, HONOLULU, HI 96813-2412
(808) 521-1102
(808) 521-1103
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD-18276
HI
Other
Enumeration date
08/19/2006
Last updated
10/26/2015
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