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Individual

STEVE CARL ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
12124 HIGH TECH AVE, STE 300, ORLANDO, FL 32817-8373
(407) 249-3179
Mailing address
12124 HIGH TECH AVE, STE 300, ORLANDO, FL 32817-8373
(407) 249-3179

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
107838
TX

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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