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

Dr. Robert G Ellison Jr., MD

Individual provider Vascular Surgery Physician · NPI 1477571008

Dr. Robert G Ellison Jr., MD is a Vascular Surgery Physician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

836 Prudential Dr Ste 1405
Jacksonville, FL 32207-8334
Phone: (904) 388-7521
Fax: (904) 388-3541
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Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence ME39556 (FL)

Record details

NPI number1477571008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007

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