Individual
PETER DROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST DEPT OF, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST DEPT OF, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C1-0003428
DE
2085R0202X
Diagnostic Radiology Physician
Primary
ME114100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000107701
—
DE
05
—
114116400
—
FL
01
—
300027121
RAILROAD MEDICARE #
—
01
—
PF113
MEDICARE PTAN OHRI
FL
01
—
PR906
MEDICARE PTAN OHMG
FL
01
—
Q83RJ
BCBS
FL
Enumeration date
03/21/2006
Last updated
03/27/2023
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