Organization
DAVID J GROSS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J GROSS MD (OWNER)
(904) 823-9992
Entity
Organization
Contact information
Practice address
1100 S PONCE DE LEON BLVD STE 3B, ST AUGUSTINE, FL 32084-6013
(904) 823-9992
Mailing address
1100-3 S PONCE DE LEON BLVD, SUITE 3B, ST AUGUSTINE, FL 32084-6013
(904) 823-9992
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/22/2008
Last updated
08/29/2024
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