| Doctor Name: | DICKSON AARON ELLINGTON |
| NPI Number: | 1154485829 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 3313 |
| Business Practice Address: | 1405 Nw 167th St Miami Gardens, FL - 331695732 |
| Business Phone Number: | 3056249191 |
| Business Fax Number: | 3056437772 |
| Mailing Address: | Po Box 530442, MIAMI SHORES |
| State: | FL |
| Postal Code: | 331530442 |
| Phone Number: | 7863905424 |
| Fax Number: | 3057549387 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 3313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |