MEDICARE: ROSS NEELY WEBB

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1730014317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSS NEELY WEBB

Provider Business Mailing Address
First Line	:	321 CAICOS DR
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-5838
Country	:	US
Telephone Number	:	207-944-7259
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 N FEDERAL HWY STE 6
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-2600
Country	:	US
Telephone Number	:	954-958-7576
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ ROSS NEELY WEBB ” Practice Location

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