Ross, Douglas Augustus

Ross, Douglas Augustus is an sole proprietor health care provider with primary practice located at 3100 E Fletcher Ave , Tampa FL 33613-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ross, Douglas Augustus can be contacted via phone (813) 615-7200.

Contact Information

Primary practice address
3100 E Fletcher Ave Tampa FL 33613-4613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 033354 Connecticut
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME 120665 Florida

Profile Details

NPI number 1912988692
LBN Legal business name Ross, Douglas Augustus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated May 24th, 2021 - about 4 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 1912988692 NPPES
Connecticut MEDICAID 001333541

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