Organization
EDWARD J. GROSS, M.D., P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J GROSS MD (OWNER)
(407) 333-3040
Entity
Organization
Contact information
Practice address
1035 PRIMERA BLVD, LAKE MARY, FL 32746-2193
(407) 333-3040
(407) 333-3496
Mailing address
1035 PRIMERA BLVD, LAKE MARY, FL 32746-2193
(407) 333-3040
(407) 333-3496
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0074351
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME74351
FL
Other
Enumeration date
01/25/2014
Last updated
08/05/2014
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