Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert G Ellison Jr MD P A

Organization Specialist · NPI 1699979203

Robert G Ellison Jr MD P A is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

836 Prudential Dr Ste 1405
Jacksonville, FL 32207-8334
Phone: (904) 388-7521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME39556 (FL)

Record details

NPI number1699979203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Ellison — Owner · (904) 388-7521
Other names Robert G Ellison Jr Md
NPI enumeratedJune 14, 2007
Last updated in NPPESAugust 10, 2007
Mailing address836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334

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