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Theodore Gross
Pediatrics Physician in Eglin Afb, Florida
NPI 1922531508

Theodore Gross is a Pediatrics Physician based in Eglin Afb, FL. Theodore Gross practices in Eglin Afb, FL. The NPI Number for Theodore Gross is 1922531508 and holds a License No. (Florida).

The current practice location address for Theodore Gross is 307 Boatner Rd Ste 114, Eglin Afb, FL and can be reached out via phone at 850-883-8600.

Location: 307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922531508
Provider Name
Theodore Gross
Credential
Provider Entity Type
Individual
Gender
Male
Address
307 Boatner Rd Ste 114, Eglin Afb, FL, 32542-1302
Phone Number
850-883-8600
Fax Number
Provider Enumeration Date
04/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 Boatner Rd Ste 114
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-8600
Fax Number
person
Provider Business Mailing Address Details
Address
307 Boatner Rd Ste 114
City
Eglin Afb
State
Florida
Zip
32542-1302
Phone Number
850-883-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
M-15894 (Idaho)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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