Individual
DR. JAY DAVID ELLENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2954 B AVENTURA BLVD, AVENTURA, FL 33180-3102
(305) 933-6033
(305) 933-5978
Mailing address
2954 B AVENTURA BLVD, AVENTURA, FL 33180-3102
(305) 933-6033
(305) 933-5978
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME12885
FL
Other
Enumeration date
06/07/2006
Last updated
01/03/2011
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