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Shalan Nattoya Ross

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

This provider is enrolled in PECOS as SHALAN ROSS.

Based on the most recent information from CMS, provider Shalan Nattoya Ross is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1649984352
Provider Type
Individual
Full Name
Ross, Shalan Nattoya
Title
Mrs.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
1/9/2023
Last Updated
2/10/2025

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(000) 000-0000

Unlisted Fax

Mailing Location

1695 NW 65th Ave, Margate, FL 33063-2610

(954) 681-5112

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11023864 Florida

Shalan Nattoya Ross

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Houle, Diana L

Diaz, Alberto

Dixon, Pauline

Gomez Martinez, Yamila

Michelle Riopedre Llc

Munzenmaier, Laura Sims

Escorcio Correia, Leandro

Pedroso Marquez, Tamara

Raul J Beltran

Witek, Pamela