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Individual

JASON HOWARD ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4800 BELFORT RD, JACKSONVILLE, FL 32256
(904) 398-7205
(904) 396-4047
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-7205

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME136616
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10005088
FL
Enumeration date
04/01/2012
Last updated
10/22/2018
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