Organization
MDPA SOLUTIONS, INC
Active
Other names
New Smyrna Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIS FRANKLIN FORT III P.A. (PHYSICIAN ASSISTANT)
(386) 957-1854
Entity
Organization
Contact information
Practice address
502 PALMETTO ST, NEW SMYRNA BEACH, FL 32168
(386) 957-3810
(386) 878-4967
Mailing address
502 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7325
(386) 957-1854
(386) 878-4967
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/30/2015
Last updated
01/23/2026
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