Individual
DR. JESSICA R ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 S MAIN ST, TRENTON, FL 32693-3239
(352) 463-2374
(352) 463-2726
Mailing address
3543 SW 30TH WAY, #107, GAINESVILLE, FL 32608-2751
(217) 827-6158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 109165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242600
—
FL
01
—
14J57
BCBSFL
FL
Enumeration date
04/01/2008
Last updated
03/31/2015
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