Individual
DR. JOSEPH JOHN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.S.
Contact information
Practice address
295 SE HIGHWAY 19, CRYSTAL RIVER, FL 34429
(352) 795-6622
(352) 563-2598
Mailing address
PO BOX 3979, SARASOTA, FL 34230-3979
(352) 795-6622
(352) 563-2598
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35052548
OH
207W00000X
Ophthalmology Physician
Primary
ME61395
FL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
35052548
OH
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
ME61395
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
35052548
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
ME61395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010029800
—
FL
01
—
0644297
MEDICARE PTAN
OH
05
—
0757668
—
OH
01
—
CE659Y
MEDICARE PTAN
FL
Enumeration date
07/18/2006
Last updated
07/21/2022
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