Edward J. Gross, M.d., P.l.

NPI #1801219944 in Lake Mary, Florida

Provider Information

NPI Number: 1801219944
Entity Type: Organization
Organization Name: Edward J. Gross, M.d., P.l.
Primary Specialty: Dermatology
Enumeration Date: Jan 25, 2014
Last Updated: Aug 5, 2014

Practice Location

Address: 1035 PRIMERA BLVD
City: Lake Mary
State: Florida
ZIP Code: 32746-2193
Phone: (407) 333-3040

Authorized Official

Name: DR. EDWARD J GROSS, MD
Title: OWNER
Phone: (407) 333-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck	207YX0007X
Dermatology	207N00000X	Primary

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