Individual
BILLY MERRILL ELLIOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6089
Mailing address
11692 TANAGER DR, JACKSONVILLE, FL 32225-2570
(904) 654-8294
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
525082
FL
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
03/04/2019
Last updated
09/29/2021
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