Individual provider · Type 1 NPI

Michael David Gross, PA-C

Medical Physician Assistant · Winter Haven, FL

NPI number 1891760427 Active

Practice location

400 Avenue K SE, Suite 11
Winter Haven, FL 33880-4146

Fax (863) 294-1059

Mailing address

400 Avenue K, SE, Suite 11
Winter Haven, FL 33880-4145

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X003304 (GA)
Medical Physician Assistant Primary 363AM0700XPA9101248 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1891760427

Michael David Gross, PA-C's National Provider Identifier is 1891760427, issued on Feb 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winter Haven, FL. The record was last updated on Mar 30, 2012.