Gross, William
Gross, William is an individual health care provider with primary practice located at 6499 38Th Ave N Suite C-2, St Petersburg FL 33710-1656. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gross, William can be contacted via phone (727) 345-0607.Contact Information
Primary practice address
6499 38Th Ave N Suite C-2
St Petersburg FL 33710-1656
Phone: (727) 345-0607
Fax: (727) 345-4309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO-0002411 | Florida |
Profile Details
| NPI number | 1609896737 |
|---|---|
| LBN Legal business name | Gross, William |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Aug 12th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609896737 | NPPES |
| Florida | MEDICAID | 340593100 | |
| Florida | Other | 1588757520 | |
| Florida | Other | P00349330 | |
| Florida | Other | 65346 |
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