person
Mr. Michael David Gross, PA-C
Medical Physician Assistant in Winter Haven, Florida
NPI 1891760427

Michael David Gross is a Medical Physician Assistant based in Winter Haven, FL and is specialized in Medical. Michael David Gross practices in Winter Haven, FL and has the professional credentials of PA-C. The NPI Number for Michael David Gross is 1891760427 and holds a License No. 003304 (Florida).

The current practice location address for Michael David Gross is 400 Avenue K Se, Winter Haven, FL and can be reached out via phone at 863-294-4404 and via fax at 863-294-1059.

Location: 400 Avenue K Se, Winter Haven, FL, 33880-4145
person
Provider Profile Details
NPI Number
1891760427
Provider Name
Michael David Gross
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
400 Avenue K Se, Winter Haven, FL, 33880-4145
Phone Number
863-294-4404
Fax Number
863-294-1059
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100002229B 05 GA
2907941-00 05 FL
970021690 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
400 Avenue K Se
City
State
Zip
33880-4146
Phone Number
863-294-4404
Fax Number
863-294-1059
person
Provider Business Mailing Address Details
Address
400 Avenue K Se
City
State
Zip
33880-4146
Phone Number
863-294-4404
Fax Number
863-294-1059
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003304 (Georgia)
Definition
Definition to come...
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