Gross, Andrew S

Gross, Andrew S is an individual health care provider with primary practice located at 703 Virginia St , Dunedin FL 34698-6615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gross, Andrew S can be contacted via phone (727) 734-4000.

Contact Information

Primary practice address
703 Virginia St Dunedin FL 34698-6615
Fax: (727) 734-4454
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS6870 Florida

Profile Details

NPI number 1396723003
LBN Legal business name Gross, Andrew S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jan 6th, 2014 - about 12 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 1396723003 NPPES
Florida MEDICAID 377059100
Florida Other 080129220

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