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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME0074351 (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.