Individual provider · Type 1 NPI

Edward John Gross, MD

Specialist · Lake Mary, FL

NPI number 1912929043 Active

Practice location

1035 Primera Blvd.
Lake Mary, FL 32746-2193

Fax (407) 333-3496

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0074351 (FL)

Specialist: 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.

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About NPI 1912929043

Edward John Gross, MD's National Provider Identifier is 1912929043, issued on Jul 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Mary, FL. The record was last updated on Jun 23, 2014.