Provider Demographics
NPI:1306834452
Name:ROSS, ANDREW STUART (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:STUART
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:745 MEADOWS RD # 202
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2324
Mailing Address - Country:US
Mailing Address - Phone:561-395-2626
Mailing Address - Fax:833-626-1926
Practice Address - Street 1:745 MEADOWS RD # 202
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2324
Practice Address - Country:US
Practice Address - Phone:561-395-2626
Practice Address - Fax:833-626-1926
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME48284208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL061793800Medicaid
FL061793800Medicaid
FL73278YMedicare PIN