Individual
ROSS SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2506
Mailing address
1 DAVIS BLVD, TAMPA, FL 33606-3463
(813) 253-3007
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME144105
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
07/21/2020
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