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Organization
STACY R ROSS APRN LLC
Active
Organization
STACY R ROSS APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY RENEE ROSS APRN (OWNER)
(859) 325-3059
Entity
Organization
Contact information
Practice address
3455 COUNTRYSIDE BLVD UNIT 12, CLEARWATER, FL 33761-1306
(859) 325-3059
Mailing address
3455 COUNTRYSIDE BLVD UNIT 12, CLEARWATER, FL 33761-1306
(859) 325-3059
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/11/2023
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