Jack A Ross is a Clinic/center in Rockledge, Florida. Jack A Ross practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Jack A Ross is 1942380506. The last update date is 2009-08-21.
Jack A Ross's current location address is Po Box 560977, Rockledge, Florida. You can contact this provider via phone number 3216392404. The mailing address for Jack A Ross is Po Box 560977, Rockledge, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack A Ross |
|---|---|
| Address | Po Box 560977, Rockledge, Florida |
| Phone Number | 3216392404 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942380506 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2009-08-21 |
Provider Mailing Address Detail
| Address | Po Box 560977 |
|---|---|
| City | Rockledge |
| State | Florida (FL) |
| Post Code | 329560977 |
| Phone Number | 3216392404 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68638700 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack A Ross?
The Jack A Ross has been issued the NPI (National Provider Identifier) 1942380506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jack A Ross is geographically located?
The Jack A Ross is physically situated at the following location: Po Box 560977, Rockledge, FL, 329560977.
What is Jack A Ross's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack A Ross is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
When was the Jack A Ross's 1942380506 issued?
The Jack A Ross's 1942380506 was issued on 2006-10-17.
As of what date were the Jack A Ross's details last updated?
The information pertaining to the Jack A Ross, including its address, specialty, and other details, was most recently updated on 2009-08-21.