Gross, Andrew Michael

Gross, Andrew Michael is an sole proprietor health care provider with primary practice located at 12670 Creekside Ln Suite 202, Fort Myers FL 33919-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gross, Andrew Michael can be contacted via phone (239) 482-2663.

Contact Information

Primary practice address
12670 Creekside Ln Suite 202 Fort Myers FL 33919-3370
Phone: (239) 482-2663
Fax: (239) 482-7585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X D0062043 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME100830 Florida

Profile Details

NPI number 1942341334
LBN Legal business name Gross, Andrew Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Dec 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942341334 NPPES
Florida Other 35068 BCBS OF FLORIDA

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