Organization
WILLIAM GROSS, DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GROSS DPM (OWNER)
(727) 345-0607
Entity
Organization
Contact information
Practice address
6499 38TH AVE N, SUITE C-2, ST PETERSBURG, FL 33710-1656
(727) 345-0607
(727) 345-4309
Mailing address
6499 38TH AVE N STE C2, ST PETERSBURG, FL 33710-1650
(727) 345-0607
(727) 345-4309
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO6000090640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609896737
TYPE 1 NPI NUMBER
FL
05
—
340593100
—
FL
01
—
P00349330
RAILROAD MEDICARE PALMETTO GBA
FL
Enumeration date
10/02/2006
Last updated
12/18/2024
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