Individual
WILLIAM GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
PO-0002411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588757520
TYPE 2 NPI
FL
05
—
340593100
—
FL
01
—
65346
BLUE CROSS
FL
01
—
P00349330
RAILROAD MEDICARE
FL
Enumeration date
07/20/2006
Last updated
08/12/2022
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