MR. SCOTT GORDON ROSS NPI 1619304060

NPI Information

NPI: 1619304060
Provider Name: MR. SCOTT GORDON ROSS
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
2121 FOREST HOLLOW WAY
SAINT JOHNS, FL
ZIP 32259
Phone: (904) 342-6844
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MR. Scott Gordon Ross is a home modifications contractor in Saint Johns, FL. MR. Scott Gordon Ross NPI is 1619304060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 FOREST HOLLOW WAY
SAINT JOHNS, FL
ZIP 32259-949
Phone: (904) 342-6844

The enumeration date for this NPI number is 10/1/2013 and was last updated on 10/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171WH0202X	Contractor	Home Modifications	CRC-057575	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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