Individual
JUAN C. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAJE THERAPIST
Contact information
Practice address
13549 SW 11TH LN, MIAMI, FL 33184-1837
(305) 303-2240
Mailing address
13549 SW 11TH LN, MIAMI, FL 33184-1837
(305) 303-2240
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
HCC9395
FL
225700000X
Massage Therapist
Primary
MA62829
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009966100
—
FL
Enumeration date
04/26/2011
Last updated
12/18/2020
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