MEDICARE: DR. THEODORE 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	207R00000X	Internal Medicine Physician	036075238	IL
2	207R00000X	Internal Medicine Physician	ME179187	FL

General Provider Information

NPI Number	:	1285720508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THEODORE ROSS MD

Provider Business Mailing Address
First Line	:	1503 BILL BECK BLVD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-9516
Country	:	US
Telephone Number	:	407-943-8600
Fax Number	:	407-932-5150

Provider Business Practice Location Address
First Line	:	109 N DOVERPLUM AVE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34758-3309
Country	:	US
Telephone Number	:	407-943-8600
Fax Number	:	833-464-3641

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	05/05/2026

Similar Medicare Providers

1619969516 — DR. JOAN ACEVEDO D
Practice Location Address:

105 N DOVERPLUM AVE
KISSIMMEE, FL
34758-3309

Practice Phone: 407-943-8600
Practice Fax: 407-943-8625

1063451326 — DR. DAVID D FERRO DMD
Practice Location Address:

109 N DOVERPLUM AVE
KISSIMMEE, FL
34758-3309

Practice Phone: 407-943-8600
Practice Fax:

1518130665 — COURTNEY NICHOLE BURRELL MD
Practice Location Address:

109 N DOVERPLUM AVE
KISSIMMEE, FL
34758-3309

Practice Phone: 407-943-8600
Practice Fax: 833-464-3641

1700037348 — DR. JACQUELINE MCLAUGHLIN
Practice Location Address:

109 N DOVERPLUM AVE
KISSIMMEE, FL
34758-3309

Practice Phone: 407-943-8600
Practice Fax:

1164777827 — KIMBERLY LYNN ACEVEDO ARNP
Practice Location Address:

105 N DOVERPLUM AVE
KISSIMMEE, FL
34758-3309

Practice Phone: 407-943-8600
Practice Fax: 407-943-8625

1952654576 — DR. ANJU JAIN DDS
Practice Location Address:

109 N DOVERPLUM AVE
KISSIMMEE, FL
34758-3309

Practice Phone: 407-943-8600
Practice Fax:

Directions to “ DR. THEODORE 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.