OrganizationActive
National Cosmetic Laser Center
NPI 1215121439 · Anesthesiology Physician · Rockledge, FL
Provider details
- NPI number
- 1215121439
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Ross, Owner(321) 505-2069
- License
- ME38787 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1974 Rockledge Blvd Ste 102
Rockledge, FL 32955-3723
Phone: (321) 639-2404
Street-level locationGet directions
Mailing address
Po Box 560977
Rockledge, FL 32956-0977
Other names (DBA / former)
- Doing business as
- National Anesthesia Services
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2007-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.