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Individual

STEVEN A GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
32615 U.S. 19 NORTH, SUITE 6, PALM HARBOR, FL 34684
(727) 772-7712
(727) 772-6891
Mailing address
32615 U.S. 19 NORTH, SUITE 6, PALM HARBOR, FL 34684
(727) 772-7712
(727) 772-6891

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME62730
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18084
BLUE CROSS AND BLUE SHIEL
FL
05
371349100
FL
Enumeration date
07/18/2006
Last updated
04/29/2008
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