Individual
DOUGLAS AUGUSTUS ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7200
Mailing address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-2928
(850) 416-6119
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
033354
CT
207Y00000X
Otolaryngology Physician
Primary
ME 120665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001333541
—
CT
Enumeration date
11/09/2005
Last updated
05/24/2021
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