Organization
EDWARD J. GROSS M.D., PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JOHN GROSS M.D (PHYSICIAN)
(407) 333-3040
Entity
Organization
Contact information
Practice address
1035 PRIMERA BLVD., LAKE MARY, FL 32746
(407) 333-3040
(407) 333-3496
Mailing address
1035 PRIMERA BLVD., LAKE MARY, FL 32746
(407) 333-3040
(407) 333-3496
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME0074351
FL
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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