Individual
DR. ROSS A CLEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
(321) 727-3223
(321) 727-9448
Mailing address
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935-5958
(321) 727-3223
(321) 727-9448
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
ME70285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010570800
—
FL
01
—
31737X
MEDICARE INDIVIDUAL
FL
Enumeration date
11/09/2005
Last updated
06/28/2022
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