Provider Demographics
NPI:1760640205
Name:ROSS, REAGAN LINDSAY (MD)
Entity Type:Individual
Prefix:DR
First Name:REAGAN
Middle Name:LINDSAY
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9868 S STATE ROAD 7 STE 310
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-4477
Mailing Address - Country:US
Mailing Address - Phone:561-737-9112
Mailing Address - Fax:561-737-9327
Practice Address - Street 1:9868 S STATE ROAD 7 STE 310
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4477
Practice Address - Country:US
Practice Address - Phone:561-737-9112
Practice Address - Fax:561-737-9327
Is Sole Proprietor?:No
Enumeration Date:2008-05-31
Last Update Date:2015-08-16
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Provider Licenses
StateLicense IDTaxonomies
FLME1162982086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery