Individual
DAVID LOFTON ELLERBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6100 KENNERLY RD, SUITE 202, JACKSONVILLE, FL 32216-4368
(904) 733-5550
(904) 733-5515
Mailing address
1646 WINDWARD LN, NEPTUNE BEACH, FL 32266-3260
(904) 249-3625
(904) 733-5515
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 1830
FL
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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