MEDICARE: DR. MICHAEL ROSS FOX 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	2084P0800X	Psychiatry Physician	ME79473	FL
2	2084P0804X	Child & Adolescent Psychiatry Physician	ME79473	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1619914124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ROSS FOX MD

Provider Business Mailing Address
First Line	:	700 JOHN RINGLING BLVD # 302
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-1542
Country	:	US
Telephone Number	:	813-956-5435
Fax Number	:	941-934-2579

Provider Business Practice Location Address
First Line	:	5602 MARQUESAS CIR STE 209
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34233-3359
Country	:	US
Telephone Number	:	813-956-5435
Fax Number	:	941-923-1579

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/17/2018

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