Individual
DR. ELLIOT MITCHELL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD ST, JACKSONVILLE, FL 32214-0001
(904) 542-7345
Mailing address
240 ENRIQUE S SAN NICHOLAS LN, APT F, TALOFOFO, GU 96915-3630
(904) 374-3106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-2112
GU
208D00000X
General Practice Physician
0101240369
VA
Other
Enumeration date
11/01/2006
Last updated
11/13/2018
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