MR. Ellis Franklin Fort III, PA-C
NPI #1497060396 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1497060396
- Entity Type
- Individual
- Name
- MR. Ellis Franklin Fort III, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 16, 2010
- Last Updated
- May 30, 2019
Practice Location
- Address
- 502 PALMETTO ST
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168
- Phone
- (386) 957-1854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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