Individual
DR. SUSAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
339 CYPRESS PKWY, SUITE 180, KISSIMMEE, FL 34759-3329
(407) 933-1877
(407) 933-1817
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPT, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME65921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252418000
—
FL
Enumeration date
05/20/2006
Last updated
09/29/2016
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