Healthcare Provider Details

I. General information

NPI: 1447957071
Provider Name (Legal Business Name): DAVID AARON ROSS MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 SW 117TH AVE STE 200
MIAMI FL
33183-4825
US

IV. Provider business mailing address

8200 SW 117TH AVE STE 100
MIAMI FL
33183-4825
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-7677
  • Fax: 305-279-0977
Mailing address:
  • Phone: 305-279-7677
  • Fax: 305-279-0977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID AARON ROSS
Title or Position: MANAGER
Credential: MD
Phone: 305-904-6227