Organization
GEORGE F. ELLIS, MD, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE FREDERICK ELLIS MD (PRESIDENT)
(407) 580-3940
Entity
Organization
Contact information
Practice address
1400 S ORLANDO AVE, SUITE 202, WINTER PARK, FL 32789-5543
(407) 580-3940
(866) 508-1691
Mailing address
92 WISTERIA DR, LONGWOOD, FL 32779-4956
(407) 928-8866
(866) 508-1691
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME49437
FL
Other
Enumeration date
05/21/2006
Last updated
08/22/2020
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