Provider Demographics
NPI:1295926731
Name:ROSS, JAMES ROBERT JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:ROSS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3313 W HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9423
Mailing Address - Country:US
Mailing Address - Phone:954-571-9500
Mailing Address - Fax:954-571-9560
Practice Address - Street 1:3313 W HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-9423
Practice Address - Country:US
Practice Address - Phone:954-571-9500
Practice Address - Fax:954-571-9560
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2015-03-23
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Provider Licenses
StateLicense IDTaxonomies
FLME116919207XX0005X
MO2007017340207X00000X
MI4301100166207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery