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Individual

DR. STEPHEN MARK ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD,PHD

Contact information

Practice address
6150 MANASOTA KEY RD, ENGLEWOOD, FL 34223-9253
(410) 571-0350
(410) 571-7069
Mailing address
PO BOX 380877, MURDOCK, FL 33938-0877
(941) 979-5200
(941) 979-5201

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME75401L
FL
261QP3300X
Pain Clinic/Center
PMC1621
FL
261QP3300X
Pain Clinic/Center
PMC1664
FL
261QP3300X
Pain Clinic/Center
PMC1756
FL
261QP3300X
Pain Clinic/Center
FL
261QR0200X
Radiology Clinic/Center
HCC8516
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150492200863
HUMANA
FL
01
213119
AMERIGROUP
FL
05
262392700
FL
01
35702L
MEDICARE PERSONAL PTAN
01
4213
HEALTH CARE CLINIC PERMIT
FL
01
CO744
RX FOR IMAGING MEDICARE
FL
01
FK751A
MEDICARE PTAN SAR PAIN INSTITUTE LLC
FL
01
HCC8516
AHCA RX FOR IMAGING
FL
01
PMC1148
PAIN MANAGEMENT CLINIC
FL
01
PMC1621
PAIN MANAGEMENT
FL
01
PMC1664
PAIN MANAGEMENT
FL
01
PMC1756
PAIN MANAGEMENT
FL
01
V2822
BCBS
FL
Enumeration date
12/15/2005
Last updated
09/26/2024
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