Individual provider · Type 1 NPI

Omar Gross

Mental Health Counselor · Fort Lauderdale, FL

NPI number 1124389911 Active

Practice location

790 E Broward Blvd
Fort Lauderdale, FL 33301-2095

Call (954) 781-4405 Map

Fax (954) 785-6120

Mailing address

11031 NE 6th Ave
Miami, FL 33161-7182

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124389911

Omar Gross's National Provider Identifier is 1124389911, issued on Jun 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Nov 29, 2012.