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Organization
WARREN K GROSS OD PA
Active
Organization
WARREN K GROSS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAREN K GROSS OD (PRESIDENT/OPTOMETRIST)
(305) 534-3634
Entity
Organization
Contact information
Practice address
4580 ADAMS AVE, MIAMI BEACH, FL 33140-2932
(305) 965-4193
(305) 534-9214
Mailing address
552 ARTHUR GODFREY RD, MIAMI BEACH, FL 33140-3510
(305) 534-3634
(305) 534-9214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078274200
—
FL
Enumeration date
09/04/2010
Last updated
09/04/2010
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