Ross, Gerald Alan

Ross, Gerald Alan is an individual health care provider with primary practice located at 10000 Sw Innovation Way , Port Saint Lucie FL 34987-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ross, Gerald Alan can be contacted via phone (772) 345-5280.

Contact Information

Primary practice address
10000 Sw Innovation Way Port Saint Lucie FL 34987-2111
Phone: (772) 345-5280
Fax: (772) 345-5274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS8788 Florida

Profile Details

NPI number 1942295563
LBN Legal business name Ross, Gerald Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 1st, 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 1942295563 NPPES
Florida MEDICAID 267126300

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