Individual
JEFFREY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 HAROLD AVE, WINTER PARK, FL 32789-4677
(407) 473-0276
Mailing address
2502 GRAND POPLAR ST, OCOEE, FL 34761-7643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA63186
FL
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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