Individual
DR. CHARLES ANTHONY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8727 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-6700
(813) 796-5400
(813) 776-0079
Mailing address
8727 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-6700
(813) 796-5400
(813) 776-0079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME96407
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME 96407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008257800
—
FL
01
—
132846
AMERICAN BOARD OF FAMILY MEDICINE
FL
01
—
ME96407
MEDICAL LICENSE
FL
Enumeration date
03/01/2007
Last updated
10/13/2022
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