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1265468268

NPI Code Detail

MEDICARE: DR. ANN M ROSS MD

MEDICARE: DR. ANN M ROSS MD

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
1	207V00000X	Obstetrics & Gynecology Physician	033313	CT
2	207V00000X	Obstetrics & Gynecology Physician	ME132398	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	L7425	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P5Z6W	OTHER	FL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265468268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN M ROSS MD

Provider Business Mailing Address
First Line	:	5855 CREEK STATION DR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32504-8626
Country	:	US
Telephone Number	:	850-435-4352
Fax Number	:	850-497-6195

Provider Business Practice Location Address
First Line	:	5855 CREEK STATION DR
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32504-8626
Country	:	US
Telephone Number	:	850-435-4352
Fax Number	:	850-497-6195

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	10/26/2020

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Directions to “ DR. ANN M ROSS MD” 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.

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