Individual
DR. ELICIA D ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13400 SUTTON PARK DR S STE 1504, JACKSONVILLE, FL 32224-0237
(904) 799-7667
(904) 907-8520
Mailing address
13400 SUTTON PARK DR S STE 1504, JACKSONVILLE, FL 32224-0237
(904) 799-7667
(904) 907-8520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS12591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01366468
RAILROAD MEDICARE
FL
Enumeration date
06/29/2011
Last updated
03/12/2026
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