Provider Demographics
NPI:1487440772
Name:ROSS MEDICAL INTERNATIONAL, LLC
Entity type:Organization
Organization Name:ROSS MEDICAL INTERNATIONAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:DO, LM/CPM
Authorized Official - Phone:904-347-8470
Mailing Address - Street 1:22 PARK TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-5334
Mailing Address - Country:US
Mailing Address - Phone:904-347-8470
Mailing Address - Fax:904-368-5561
Practice Address - Street 1:22 PARK TERRACE DR
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-5334
Practice Address - Country:US
Practice Address - Phone:904-347-8470
Practice Address - Fax:904-368-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty