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Individual

CHARLES OWEN ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7300
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
51714
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2024
Last updated
09/05/2025
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