Individual
DR. TERRENCE M GROSS
Active
Individual
DR. TERRENCE M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME63683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18679
BCBS
FL
01
—
18679V
MEDICARE PTAN OHRI
FL
05
—
372588000
—
FL
01
—
PS131
MEDICARE PTAN OHMG
FL
Enumeration date
09/28/2005
Last updated
03/30/2023
Update your record
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