NPI 1720141112

Elizabeth Mary Ross, DO

Practitioner Midwife St Augustine, FL

Practice location

Address: 22 Park Terrace Dr, St Augustine, FL 32080-5334
Phone: (904) 347-8470

Registered specialties (2)

Midwife Primary

Other Service Providers Taxonomy 176B00000X

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Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence UO1279 (FL)

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Registry record

NPI: 1720141112
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2006
Record last updated: 10 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.