Individual
CARMELINE F GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 WINTHROP LN, FLAGLER BEACH, FL 32136-8025
(386) 569-3998
(386) 693-3214
Mailing address
12 WINTHROP LN, FLAGLER BEACH, FL 32136-8025
(386) 569-3998
(386) 569-3998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 3622
FL
Other
Enumeration date
09/28/2010
Last updated
01/09/2013
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