DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JORDIN LEE ELLINGSON PA-C

MEDICARE: JORDIN LEE ELLINGSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9113176FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922625326
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDIN LEE ELLINGSON PA-C
Provider Business Mailing Address
First Line : 3919 TAMPA RD
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-3114
Country : US
Telephone Number : 706-499-0203
Fax Number :
Provider Business Practice Location Address
First Line : 3919 TAMPA RD
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-3114
Country : US
Telephone Number : 727-733-6111
Fax Number : 727-733-6002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 01/27/2026

Similar Medicare Providers

1891053831 — ANTOINETTE FREGOSO APN
Practice Location Address:
3919 TAMPA RD
OLDSMAR, FL
34677-3114
Practice Phone: 727-733-6111
Practice Fax:
1770150666 — CORAL HENKEL PA-C
Practice Location Address:
3919 TAMPA RD
OLDSMAR, FL
34677-3114
Practice Phone: 727-203-4339
Practice Fax:
1003579160 — HEALTH & PRIMARY CARE
Practice Location Address:
3919 TAMPA RD
OLDSMAR, FL
34677-3114
Practice Phone: 727-733-6111
Practice Fax: 727-733-6002
1760135487 — SINTYA BARREIRO-HAWKINS
Practice Location Address:
3919 TAMPA RD
OLDSMAR, FL
34677-3114
Practice Phone: 727-733-6111
Practice Fax:
1013629047 — NATALIE LEN PMHNP
Practice Location Address:
3919 TAMPA RD
OLDSMAR, FL
34677-3114
Practice Phone: 727-733-6111
Practice Fax:
1225819790 — DEBRA CHARLES PMHNP
Practice Location Address:
3919 TAMPA RD
OLDSMAR, FL
34677-3114
Practice Phone: 727-733-6111
Practice Fax:

Directions to “ JORDIN LEE ELLINGSON PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.