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Organization

SUNCOAST NEUROPSYCHOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RHONDA MICHELLE ROSS PSYD (OWNER)
(813) 633-6000
Entity
Organization

Contact information

Practice address
833 CYPRESS VILLAGE BLVD, RUSKIN, FL 33573-6822
(813) 633-6000
Mailing address
235 APOLLO BEACH BLVD # 506, APOLLO BEACH, FL 33572-2251
(813) 633-6000
(813) 633-0438

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY7611
FL
103T00000X
Psychologist
PY7611
FL
103TA0700X
Adult Development & Aging Psychologist
PY7611
FL
103TC0700X
Clinical Psychologist
PY7611
FL
103TF0200X
Forensic Psychologist
PY7611
FL
103TH0100X
Health Service Psychologist
PY7611
FL

Other

Enumeration date
10/26/2009
Last updated
10/26/2009
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