Individual
NATASHA KATRINA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 PAYNE STREET, CRAWFORDVILLE, FL 32327
(850) 241-6007
(850) 421-1140
Mailing address
90 PAYNE ST, CRAWFORDVILLE, FL 32327-5430
(850) 241-6007
(850) 421-1140
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
FL
372600000X
Adult Companion
—
FL
374U00000X
Home Health Aide
Primary
—
FL
376J00000X
Homemaker
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020530500
—
FL
Enumeration date
06/21/2017
Last updated
06/26/2023
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