| Michelle Ross Pa | |
|
1515 N University Dr Suite 102a Coral Springs FL 33071-6096 | |
| (954) 512-8374 | |
| Not Available |
| Full Name | Michelle Ross Pa |
|---|---|
| Speciality | Social Worker |
| Location | 1515 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Michelle Ross (PRESIDENT) |
| Authorized Official Contact | 9545128374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Ross Pa 1515 N University Dr Suite 102a Coral Springs FL 33071-6096 Ph: (954) 512-8374 | Michelle Ross Pa 1515 N University Dr Suite 102a Coral Springs FL 33071-6096 Ph: (954) 512-8374 |
| NPI Number | 1326281171 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 12/18/2013 |
| Medicare PECOS PAC ID | 8224180070 |
|---|---|
| Medicare Enrollment ID | O20090709000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326281171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle Faye Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336396175 PECOS PAC ID: 0042362881 Enrollment ID: I20090709000146 |
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