Individual
FRED HENRY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1612 W PLAZA DR, TALLAHASSEE, FL 32308-5324
(850) 878-8899
(850) 656-2098
Mailing address
1612 W PLAZA DR, TALLAHASSEE, FL 32308-5324
(850) 878-8899
(850) 656-2098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME44955
FL
Other
Enumeration date
09/30/2005
Last updated
11/10/2015
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