Dr. Patrick Michael Ellison, M.D.
Dermatology, MOHS-Micrographic Surgery in Tampa, FL. Individual provider (NPI-1).
NPI number1619081155
StatusActive
Last updated in NPPESOct 26, 2015
Details
- NPI
- 1619081155
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick Michael Ellison
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Last updated
- Oct 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | md-18276 | HI | Yes |
Practice location
8415 Bayshore BlvdTampa, FL 33621-1607
Phone 813-827-9548 · Fax 813-828-5731
Mailing address
1329 Lusitana St 501Honolulu, HI 96813-2412
Phone 808-521-1102 · Fax 808-521-1103
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