Individual
DAVID J GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 S PONCE DE LEON BLVD STE 3B, ST AUGUSTINE, FL 32084-6013
(813) 321-1786
(813) 321-1787
Mailing address
18228 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME62729
FL
Other
Enumeration date
12/07/2005
Last updated
08/29/2024
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