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Individual

JEFFREY ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN/ACNP/CNS

Contact information

Practice address
14900 SW 30TH ST UNIT 277615, MIRAMAR, FL 33027-7203
(386) 627-5771
Mailing address
11708 SPOTTED MARGAY AVE, VENICE, FL 34292-4169
(626) 354-6463
(209) 579-5637

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11031684
FL
364SE0003X
Emergency Clinical Nurse Specialist
0001250803
VA

Other

Enumeration date
09/11/2014
Last updated
07/08/2025
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