Provider Demographics
NPI:1518497510
Name:ROSS, DAVID CAMERON (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CAMERON
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4629 UDY RD
Mailing Address - Street 2:
Mailing Address - City:ABBOTSFORD
Mailing Address - State:BC
Mailing Address - Zip Code:V3G 3A3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:133 BENMORE DR STE 200
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4111
Practice Address - Country:US
Practice Address - Phone:407-646-7469
Practice Address - Fax:407-646-7775
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program