Individual
DR. KELLI CHARLES ROSS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6730 NW 11TH PLACE, GAINESVILLE, FL 32605
(352) 331-3234
(352) 332-7095
Mailing address
6730 NW 11TH PLACE, GAINESVILLE, FL 32605
(352) 331-3234
(352) 332-7095
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0072736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265635
AUNED
FL
01
—
46364
BCBS
FL
Enumeration date
06/13/2006
Last updated
07/08/2007
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