# FRED H ROSS, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184169112
- **Authorized official:** DR. FRED HENRY ROSS M.D. (OWNER)
- **Authorized official phone:** (850) 878-8509

## Contact information

- **Practice address:** 1612 W PLAZA DR, TALLAHASSEE, FL 32308-5324
- **Practice address phone:** (850) 878-8509
- **Mailing address:** 1612 W PLAZA DR, TALLAHASSEE, FL 32308-5324
- **Mailing address phone:** (850) 878-8509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME 44955 | FL | Yes |

## Other

- **Enumeration date:** 12/29/2016
- **Last updated:** 12/29/2016