Individual
DR. AUSTIN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
5751 HOOVER BLVD, TAMPA, FL 33634-5340
(813) 886-8334
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24721
FL
Other
Enumeration date
06/29/2017
Last updated
03/30/2023
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