# GRACE H YOO M D AND GERALD A ROSS DO PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal ObGyn Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700908654
- **Authorized official:** DR. GERALD A ROSS D.O. (PRESIDENT)
- **Authorized official phone:** (772) 785-8000

## Contact information

- **Practice address:** 501 NW LAKE WHITNEY PLACE, \#106, PORT SAINT LUCIE, FL 34986-3443
- **Practice address phone:** (772) 785-8000
- **Practice address fax:** (772) 785-8150
- **Mailing address:** 501 NW LAKE WHITNEY PLACE, \#106, PORT SAINT LUCIE, FL 34986-3443
- **Mailing address phone:** (772) 785-8000
- **Mailing address fax:** (772) 785-8150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | OS8788 | FL | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 12/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 34612 | BCBS | FL |