Individual
DR. ANDREAS MENESSES GROSSGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
609 LAKEVIEW RD, CLEARWATER, FL 33756-3335
(727) 900-7011
(727) 491-5624
Mailing address
609 LAKEVIEW RD, CLEARWATER, FL 33756-3335
(727) 900-7011
(727) 223-5151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME113826
FL
208000000X
Pediatrics Physician
ME113826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006688000
—
FL
01
—
1093617
CAREPLUS
FL
01
—
4105492
CIGNA
FL
Enumeration date
08/14/2012
Last updated
02/03/2021
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