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Individual
ANDREW S GROSS
Active
Individual
ANDREW S GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080129220
RRMCR
FL
05
—
377059100
—
FL
Enumeration date
01/03/2006
Last updated
01/06/2014
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