Individual
DEBORAH GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4355 W 16TH AVE, SUITE 212, HIALEAH, FL 33012-7666
(786) 536-6550
(786) 536-6593
Mailing address
4355 W 16TH AVE, SUITE 212, HIALEAH, FL 33012-7666
(786) 536-6550
(786) 536-6593
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA13629
FL
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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