Individual
PAMELA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
802 DUNLAWTON AVE, INSTITUTE FOR WELLBEING SUITE 102, PORT ORANGE, FL 32127-4931
(386) 763-2338
Mailing address
3280C S ATLANTIC AVE # 48, DAYTONA BEACH SHORES, FL 32118-6247
(386) 341-4070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104169
FL
Other
Enumeration date
12/19/2007
Last updated
11/17/2008
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