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Individual

AMY SIMON ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1425 S HOWARD AVE, TAMPA, FL 33606-3491
(813) 253-2635
(813) 254-7241
Mailing address
4197 WOODLANDS PKWY, PALM HARBOR, FL 34685-3493
(813) 333-1512
(813) 333-1561

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME100102
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME100102
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121492800
FL
Enumeration date
08/18/2007
Last updated
03/21/2025
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