Organization
NAPLES DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT A ROSS MD (PRESIDENT)
(239) 261-3082
Entity
Organization
Contact information
Practice address
4085 TAMIAMI TR N, SUITE B203, NAPLES, FL 34103
(239) 261-3082
(239) 261-1035
Mailing address
4085 TAMIAMI TR N, SUITE B203, NAPLES, FL 34103
(239) 261-3082
(239) 261-1035
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME0053679
FL
207N00000X
Dermatology Physician
Primary
ME0057073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10442
BLUE CROSS
—
01
—
14961
BLUE CROSS
—
Enumeration date
11/08/2007
Last updated
11/08/2007
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