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Individual

COLLEEN ANN GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
11190 HEALTH PARK BLVD, NAPLES, FL 34110-5729
(239) 552-7235
(239) 552-7755
Mailing address
11190 HEALTH PARK BLVD, NAPLES, FL 34110-5729
(239) 552-7235
(239) 552-7755

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9407011
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
JV402
BCBS
FL
Enumeration date
07/27/2015
Last updated
12/21/2015
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