Individual
JORDIN LEE ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3919 TAMPA RD, OLDSMAR, FL 34677-3114
(727) 733-6111
(727) 733-6002
Mailing address
3919 TAMPA RD, OLDSMAR, FL 34677-3114
(706) 499-0203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113176
FL
Other
Enumeration date
07/01/2020
Last updated
01/27/2026
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