Ross, Amy Simon

Ross, Amy Simon is an sole proprietor health care provider with primary practice located at 4197 Woodlands Pkwy , Palm Harbor FL 34685-3493. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Ross, Amy Simon can be contacted via phone (727) 786-3810.

Contact Information

Primary practice address
4197 Woodlands Pkwy Palm Harbor FL 34685-3493
Phone: (727) 786-3810
Fax: (727) 786-3855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME100102 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME100102 Florida

Profile Details

NPI number 1659564193
LBN Legal business name Ross, Amy Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2007
Last updated Oct 8th, 2022 - about 2 years ago

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 1659564193 NPPES
Florida MEDICAID 110113800

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