Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ELLIS FRANKLIN FORT III, PA-C
ActiveMR. ELLIS FRANKLIN FORT III, PA-C is a Physician Assistant healthcare provider located in NEW SMYRNA BEACH, Florida. NPI 1497060396 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEW SMYRNA BEACH, FL
Registration Details
- NPI Number
- 1497060396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2010 (15.962267400611 yrs)
- Last Updated
- May 30, 2019
- License
-
PA9105205 (FL)
Practice Information
- Address
-
502 PALMETTO STNEW SMYRNA BEACH, FL, 32168Browse FL providers · Browse ZIP 32168
- Phone
- 3869571854
- Fax
- 3868784967
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEW SMYRNA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. TODD K. BERGAN | PA | 1245213966 |
| CYNTHIA S MOHNEY | PAC | 1669451795 |
| MS. ERIN C. SLOAN | PA | 1730128448 |
| AMY LYNN ZILCOSKY | P.A. | 1639275118 |
| MR. RINDY NONG | PA | 1932253580 |
| MRS. LAURA RENNINGER BALLEW | PA-C | 1801085659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.