Individual
KYLIE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 NW 168TH ST, NORTH MIAMI BEACH, FL 33169-6045
(786) 418-0620
Mailing address
9357 SW 77TH AVE APT 108, MIAMI, FL 33156-3164
(305) 519-3766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9385034
FL
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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