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Individual

ANDREW S GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
703 VIRGINIA ST, DUNEDIN, FL 34698-6615
(727) 734-4000
(727) 734-4454
Mailing address
703 VIRGINIA ST, DUNEDIN, FL 34698-6615
(727) 734-4000
(727) 734-4454

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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