Ross A Clevens in Melbourne - Plastic Surgery Within The Head And Neck
Ross A Clevens - NPI 1538140231
Ross A Clevens is a Plastic Surgery Within The Head And Neck in Melbourne, Florida. Ross A Clevens practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Ross A Clevens is 1538140231. The last update date is 2022-06-28.
Ross A Clevens's current location address is 707 W Eau Gallie Blvd, Melbourne, Florida. You can contact this provider via phone number 3217273223 and fax number 3217279448. The mailing address for Ross A Clevens is 707 W Eau Gallie Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ross A Clevens |
|---|---|
| Address | 707 W Eau Gallie Blvd, Melbourne, Florida |
| Phone Number | 3217273223 |
| Fax Number | 3217279448 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538140231 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2022-06-28 |
Provider Mailing Address Detail
| Address | 707 W Eau Gallie Blvd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329355958 |
| Phone Number | 3217273223 |
| Fax Number | 3217279448 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | ME70285 |
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Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31737X | FL | MEDICARE INDIVIDUAL | |
| 10570800 | FL | -- |
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What is the Ross A Clevens's unique identification number?
The Ross A Clevens has been assigned the NPI (National Provider Identifier) Number 1538140231 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Ross A Clevens?
The Ross A Clevens is situated at 707 W Eau Gallie Blvd, in the city of Melbourne, state of FL, with the zip code 329355958.
What is the Ross A Clevens's specialty and taxonomy code?
The Ross A Clevens's specialty is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy code is 2082S0099X.
When was the Ross A Clevens's 1538140231 issued?
The Ross A Clevens's 1538140231 was issued on 2005-11-09.
When was the information regarding Ross A Clevens most recently updated?
The details pertaining to the Ross A Clevens, including its address, specialty, and other relevant information, were last refreshed on 2022-06-28.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH