Individual
SHARONA B ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 MEDICAL PARK DR STE 310, TAMPA, FL 33613-4681
(813) 615-7028
Mailing address
3000 MEDICAL PARK DR STE 310, TAMPA, FL 33613-4681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME98462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000304700
—
FL
01
—
59031
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/27/2008
Last updated
08/07/2012
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