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NPI Code Detail

MEDICARE: DR. JAMES ROBERT ROSS JR. MD

MEDICARE:  DR. JAMES ROBERT ROSS JR. 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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianME116919FL
2207X00000XOrthopaedic Surgery Physician2007017340MO
3207XX0005XSports Medicine (Orthopaedic Surgery) Physician4301100166MI
4207X00000XOrthopaedic Surgery Physician4301100166MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295926731
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ROBERT ROSS JR. MD
Provider Business Mailing Address
First Line : 3313 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-9423
Country : US
Telephone Number : 954-571-9500
Fax Number : 954-571-9560
Provider Business Practice Location Address
First Line : 3313 W HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-9423
Country : US
Telephone Number : 954-571-9500
Fax Number : 954-571-9560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 03/23/2015

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Directions to “ DR. JAMES ROBERT ROSS JR. MD” Practice Location

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