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Individual

RODNEY JAY ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 TAMPA GENERAL CIR FL 3, TAMPA, FL 33606-3571
(813) 844-7585
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7585

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MD467778
PA
2085R0001X
Radiation Oncology Physician
Primary
ME120553
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0312692
OH
Enumeration date
07/11/2006
Last updated
10/01/2024
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