Edward John Gross in Lake Mary - Specialist
Edward John Gross - NPI 1912929043
Edward John Gross is a Specialist in Lake Mary, Florida. Edward John Gross practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward John Gross is 1912929043. The last update date is 2014-06-23.
Edward John Gross's current location address is 1035 Primera Blvd., Lake Mary, Florida. You can contact this provider via phone number 4073333040 and fax number 4073333496. The mailing address for Edward John Gross is 1035 Primera Blvd., Lake Mary, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward John Gross |
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Address | 1035 Primera Blvd., Lake Mary, Florida |
Phone Number | 4073333040 |
Fax Number | 4073333496 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1912929043 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2014-06-23 |
Provider Mailing Address Detail
Address | 1035 Primera Blvd. |
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City | Lake Mary |
State | Florida (FL) |
Post Code | 327462193 |
Phone Number | 4073333040 |
Fax Number | 4073333496 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | ME0074351 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2371491 | FL | AETNA | |
593613914 | FL | HUMANA | |
593613914 | FL | BEECH STREET | |
4856086004 | FL | CIGNA | |
1000573 | FL | UNITED HEALTHCARE | |
46407 | FL | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edward John Gross by the Centers for Medicare & Medicaid Services?
The Edward John Gross has been issued the NPI (National Provider Identifier) 1912929043 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Edward John Gross's facilities are geographically located?
The facilities of Edward John Gross are physically situated at the following location: 1035 Primera Blvd., Lake Mary, FL, 327462193.
What is Edward John Gross's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward John Gross is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Edward John Gross's 1912929043 issued?
The Edward John Gross's 1912929043 was issued on 2006-07-25.
As of what date was the information pertaining to Edward John Gross, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward John Gross, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY