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NPI Code Detail

MEDICARE: ANNAMARIA ROSS M.A.

MEDICARE: ANNAMARIA ROSS M.A.
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
1235Z00000XSpeech-Language Pathologist6378NC

General Provider Information

NPI Number : 1073632238
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNAMARIA ROSS M.A.
Provider Business Mailing Address
First Line : 8034 PEAKS RD
Second Line :
City : MECHANICSVILLE
State : VA
Zip : 23116-4884
Country : US
Telephone Number : 804-349-4248
Fax Number :
Provider Business Practice Location Address
First Line : 333 1ST ST N STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32250-6939
Country : US
Telephone Number : 866-490-5038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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Directions to “ ANNAMARIA ROSS M.A.” Practice Location

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