Dr. Austin Ellis, MD
Pathology, Anatomic Pathology & Clinical Pathology in Tampa, FL. Individual provider (NPI-1).
NPI number1952822017
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1952822017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Austin Ellis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2017
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 24721 | FL | Yes |
Practice location
3100 E Fletcher AveTampa, FL 33613-4613
Phone 813-971-6000
Mailing address
5751 Hoover BlvdTampa, FL 33634-5340
Phone 813-886-8334
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