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Individual

JUAN ROS-ESCALANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1355 S INTERNATIONAL PKWY, SUITE 2451, LAKE MARY, FL 32746-1694
(407) 250-3290
(407) 250-2922
Mailing address
PO BOX 951316, LAKE MARY, FL 32795-1316

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME109269
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004081800
FL
01
FK547Z
MEDICARE PTAN
FL
Enumeration date
10/20/2006
Last updated
10/05/2025
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