person
Dr. Stephen Mark Ross, MD,PHD
Pain Clinic/Center in Port Charlotte, Florida
NPI 1194700823

Stephen Mark Ross is a Pain Clinic/Center based in Murdock, FL and is specialized in Pain. Stephen Mark Ross practices in Port Charlotte, FL and has the professional credentials of MD,PHD. The NPI Number for Stephen Mark Ross is 1194700823 and holds a License No. ME75401L (Florida).

The current practice location address for Stephen Mark Ross is 2811 Tamiami Trl Ste Q, Port Charlotte, FL and can be reached out via phone at 941-979-5200 and via fax at 941-979-5201. You can also correspond with Stephen Mark Ross through the mailing address at PO BOX 380877, MURDOCK, FL - 33938-0877 (mailing address contact number: 941-979-5200).

Location: 2811 Tamiami Trl Ste Q, Port Charlotte, FL, 33938-0877
person
Provider Profile Details
NPI Number
1194700823
Provider Name
Stephen Mark Ross
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
2811 Tamiami Trl Ste Q, Port Charlotte, FL, 33938-0877
Phone Number
941-979-5200
Fax Number
941-979-5201
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FK751A 01 FL MEDICARE PTAN SAR PAIN INSTITUTE LLC
PMC1756 01 FL PAIN MANAGEMENT
213119 01 FL AMERIGROUP
262392700 05 FL
HCC8516 01 FL AHCA RX FOR IMAGING
PMC1664 01 FL PAIN MANAGEMENT
4213 01 FL HEALTH CARE CLINIC PERMIT
CO744 01 FL RX FOR IMAGING MEDICARE
V2822 01 FL BCBS
150492200863 01 FL HUMANA
PMC1621 01 FL PAIN MANAGEMENT
35702L 01 MEDICARE PERSONAL PTAN
PMC1148 01 FL PAIN MANAGEMENT CLINIC
institution
Provider Business Practice Location Address Details
Address
2811 Tamiami Trl Ste Q
City
State
Zip
33952-5135
Phone Number
941-979-5200
Fax Number
941-979-5201
person
Provider Business Mailing Address Details
Address
Po Box 380877
City
State
Zip
33938-0877
Phone Number
941-979-5200
Fax Number
941-979-5201
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
PMC1664 (Florida)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
PMC1621 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
ME75401L (Florida)
Definition
Definition to come...
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