MEDICARE: DANA MARIE ROSS PHARM.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
1	183500000X	Pharmacist	PS46353	FL

General Provider Information

NPI Number	:	1538407119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA MARIE ROSS PHARM.D,

Provider Business Mailing Address
First Line	:	1920 WEST AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1434
Country	:	US
Telephone Number	:	305-535-4274
Fax Number	:	305-535-4278

Provider Business Practice Location Address
First Line	:	1920 WEST AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1434
Country	:	US
Telephone Number	:	305-535-4274
Fax Number	:	305-535-4278

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

Provider Enumeration Date	:	01/16/2013
Last Update Date	:	01/16/2013

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Directions to “ DANA MARIE ROSS PHARM.D,” Practice Location

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