Clevens, Ross A

Clevens, Ross A is an individual health care provider with primary practice located at 707 W Eau Gallie Blvd , Melbourne FL 32935-5958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as his primary health care specialty. Clevens, Ross A can be contacted via phone (321) 727-3223.

Contact Information

Primary practice address
707 W Eau Gallie Blvd Melbourne FL 32935-5958
Phone: (321) 727-3223
Fax: (321) 727-9448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X ME70285 Florida

Profile Details

NPI number 1538140231
LBN Legal business name Clevens, Ross A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538140231 NPPES
Florida Other 31737X MEDICARE INDIVIDUAL
Florida MEDICAID 010570800 MEDICARE INDIVIDUAL

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