| Mr Ellis Franklin Fort Iii, PA-C | |
|
502 Palmetto St, New Smyrna Beach, FL 32168 | |
| (386) 957-1854 | |
| (386) 878-4967 |
| Full Name | Mr Ellis Franklin Fort Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 502 Palmetto St, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497060396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9105205 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ellis Franklin Fort Iii, PA-C 502 Palmetto St, New Smyrna Beach, FL 32168-7325 Ph: (869) 571-8543 | Mr Ellis Franklin Fort Iii, PA-C 502 Palmetto St, New Smyrna Beach, FL 32168 Ph: (386) 957-1854 |
Raya Blackwell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 125 Florida Memorial Pkwy, New Smyrna Beach, FL 32168 Phone: 386-409-6800 | |
Mr. Todd K. Bergan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1860 Renzulli Road, New Smyrna Beach, FL 32168 Phone: 386-663-3064 | |
Michael Joel Thompson, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 845 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-423-2550 Fax: 386-423-2525 | |
Mr. Matthew Tsampico Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 807 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-5554 Fax: 386-428-6291 | |
Shelby Wheeler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-423-0505 | |
Mr. Marc Bryan Hull, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1860 Renzulli Rd, New Smyrna Beach, FL 32168 Phone: 386-663-3061 Fax: 386-663-3066 |