Individual
ROSS C. WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-5418
(407) 599-7546
(407) 599-7506
Mailing address
451 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-5418
(407) 599-7546
(407) 599-7506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 73845
FL
207ND0900X
Dermatopathology Physician
ME 73845
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME 73845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220029792
RAILROAD MEDICARE
—
05
—
260896600
—
FL
Enumeration date
11/21/2005
Last updated
07/21/2014
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