Ros, Gustavo F

Ros, Gustavo F is an sole proprietor health care provider with primary practice located at 965 Mar Walt Dr , Fort Walton Beach FL 32547-6759. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ros, Gustavo F can be contacted via phone (850) 863-3199.

Contact Information

Primary practice address
965 Mar Walt Dr Fort Walton Beach FL 32547-6759
Phone: (850) 863-3199
Fax: (850) 863-3196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD27970 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME88887 Florida

Profile Details

NPI number 1912902982
LBN Legal business name Ros, Gustavo F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jan 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912902982 NPPES
Florida MEDICAID 267192100
Florida MEDICAID 268405500
Florida MEDICAID 109024
Florida MEDICAID 1912902982

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