Individual
KIMBERLY GAYLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2113 SARNO RD, MELBOURNE, FL 32935-3001
(321) 676-0558
Mailing address
4450 W EAU GALLIE BLVD, MELBOURNE, FL 32934-7213
(321) 751-6671
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11008351
FL
Other
Enumeration date
07/28/2020
Last updated
05/13/2025
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