Provider Demographics
NPI:1427360049
Name:ROSS G STONE MD PA
Entity Type:Organization
Organization Name:ROSS G STONE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:G
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-965-5700
Mailing Address - Street 1:120 JFK DR
Mailing Address - Street 2:SUITE 124
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6640
Mailing Address - Country:US
Mailing Address - Phone:561-965-5700
Mailing Address - Fax:561-965-8003
Practice Address - Street 1:120 JFK DR
Practice Address - Street 2:SUITE 124
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6640
Practice Address - Country:US
Practice Address - Phone:561-965-5700
Practice Address - Fax:561-965-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042808207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1477535136OtherNPI INDIVIDUAL
FL006622800Medicaid
FL1427360049OtherMEDICARE GROUP NPI
61313OtherBC/BS
FL1427360049OtherMEDICARE GROUP NPI