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NPI Code Detail

MEDICARE: DR. MICHAEL DAVID ROSS M.D.

MEDICARE:  DR. MICHAEL DAVID ROSS  M.D.
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
1207RR0500XRheumatology PhysicianME0031900FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150864OTHERFLBCBS

General Provider Information

NPI Number : 1235139403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DAVID ROSS M.D.
Provider Business Mailing Address
First Line : 1301 N CONGRESS AVE
Second Line : SUITE 200
City : BOYNTON BEACH
State : FL
Zip : 33426-3320
Country : US
Telephone Number : 561-659-4242
Fax Number : 561-659-5816
Provider Business Practice Location Address
First Line : 1301 N CONGRESS AVE
Second Line : SUITE 200
City : BOYNTON BEACH
State : FL
Zip : 33426-3320
Country : US
Telephone Number : 561-439-1800
Fax Number : 561-439-4874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/22/2015

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Directions to “ DR. MICHAEL DAVID ROSS M.D.” Practice Location

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