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Individual

DR. DAVID L ELLENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1735 E HWY 50 STE B, CLERMONT, FL 34711-5189
(352) 241-0549
(352) 242-9325
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036088924
IL
207R00000X
Internal Medicine Physician
Primary
ME156236
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036088924
IL
05
115783900
FL
Enumeration date
09/26/2006
Last updated
02/13/2026
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