MEDICARE: DEBORAH JANE ROSS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1730237900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH JANE ROSS

Provider Business Mailing Address
First Line	:	663 NE WAX MYRTLE WAY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4794
Country	:	US
Telephone Number	:	772-334-4417
Fax Number	:	772-334-4417

Provider Business Practice Location Address
First Line	:	663 NE WAX MYRTLE WAY
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4794
Country	:	US
Telephone Number	:	772-334-4417
Fax Number	:	772-334-4417

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

Provider Enumeration Date	:	01/06/2007
Last Update Date	:	01/11/2026

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Directions to “ DEBORAH JANE ROSS ” Practice Location

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