Individual
DR. ANDREW MICHAEL GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12670 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585
Mailing address
12670 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
D0062043
MD
208VP0000X
Pain Medicine Physician
Primary
ME100830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35068
BCBS OF FLORIDA
FL
Enumeration date
02/09/2007
Last updated
12/21/2010
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