Pathology Services of Central Florida PLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHOLOGY SERVICES OF CENTRAL FLORIDA PLC

Practice address

742 S US Highway 1
Cocoa
Cocoa, FL 32922-7660

Phone

(321) 505-2069

Fax

(321) 636-0240

NPI assigned

Jun 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack Andru Ross, M.D.

Title

President

Phone

(321) 505-2069

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1992933303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 S US HIGHWAY 1",
            "address_2": "COCOA",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227660",
            "telephone_number": "321-505-2069",
            "fax_number": "321-636-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 S US HIGHWAY 1",
            "address_2": "COCOA",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227660",
            "telephone_number": "321-505-2069",
            "fax_number": "321-636-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY SERVICES OF CENTRAL FLORIDA PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ANDRU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-505-2069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Partners in Hope Counseling & Support Services LLC
• Pasqua Marongiu Psy D PA
• Rajesh Arvindbhai Patel, PHARMACIST
• Ronakkumar Patel
• Trishna Patel, PHARMD
• William A Patterson, D.P.M.
• Catrina Clore Pauley, LMHC
• James Raymond Pavlovsky II, CAP, CADAC II
• Aaliyah Payne
• Branko Dusan Pejic, MD

• Clinical Medical Laboratory in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.