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Individual

ROSS ALLEN PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2225 NORTH CENTRAL AVENUE, KISSIMMEE, FL 34741-2342
(407) 933-2908
(407) 846-1657
Mailing address
160 BOSTON AVENUE, ALTAMONTE SPRINGS, FL 32470-4798
(407) 775-7654
(407) 837-6082

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME66619
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376066900
FL
Enumeration date
08/02/2005
Last updated
03/07/2023
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