Ross, Charles Anthony

Ross, Charles Anthony is an sole proprietor health care provider with primary practice located at 8727 Temple Terrace Hwy , Temple Terrace FL 33637-6700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ross, Charles Anthony can be contacted via phone (813) 796-5400.

Contact Information

Primary practice address
8727 Temple Terrace Hwy Temple Terrace FL 33637-6700
Fax: (813) 776-0079
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME96407 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME 96407 Florida

Profile Details

NPI number 1437287497
LBN Legal business name Ross, Charles Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Oct 13th, 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 1437287497 NPPES
Florida Other 132846 AMERICAN BOARD OF FAMILY MEDICINE
Florida Other ME96407 AMERICAN BOARD OF FAMILY MEDICINE
Florida MEDICAID 008257800 AMERICAN BOARD OF FAMILY MEDICINE

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