| Jeannette D Ross | |
|
1460 S Mccall Rd Ste 3h Englewood FL 34223-4870 | |
| (941) 223-0105 | |
| (941) 681-2663 |
| Full Name | Jeannette D Ross |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1460 S Mccall Rd Ste 3h, Englewood, Florida |
| Authorized Official Name and Position | Jeannette D Ross (SOLE PRACTITIONER) |
| Authorized Official Contact | 9412230105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannette D Ross 1730 Hudson St Englewood FL 34223-6424 Ph: (941) 475-9859 | Jeannette D Ross 1460 S Mccall Rd Ste 3h Englewood FL 34223-4870 Ph: (941) 223-0105 |
| NPI Number | 1477965416 |
|---|---|
| Provider Enumeration Date | 05/26/2014 |
| Last Update Date | 05/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477965416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW2147 (Florida) | Primary |
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