Organization
CHARLES ROSS MD PA
Active
Other names
MedEx Walk-In
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROSS MD (OWNER)
(813) 270-0325
Entity
Organization
Contact information
Practice address
511 W ALEXANDER ST, SUITE 1, PLANT CITY, FL 33563-7116
(813) 719-7246
(813) 464-2781
Mailing address
1721 POWDER RIDGE DR, VALRICO, FL 33594-4040
(813) 389-7582
(813) 464-2781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME96407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1461Z
BCBS
FL
Enumeration date
10/17/2009
Last updated
09/13/2011
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