Gross, Andrew Michael
Gross, Andrew Michael is an sole proprietor health care provider with primary practice located at 12670 Creekside Ln Suite 202, Fort Myers FL 33919-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Gross, Andrew Michael can be contacted via phone (239) 482-2663.Contact Information
Primary practice address
12670 Creekside Ln Suite 202
Fort Myers FL 33919-3370
Phone: (239) 482-2663
Fax: (239) 482-7585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | D0062043 | Maryland |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ME100830 | Florida |
Profile Details
| NPI number | 1942341334 |
|---|---|
| LBN Legal business name | Gross, Andrew Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Dec 21st, 2010 - about 14 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 | 1942341334 | NPPES |
| Florida | Other | 35068 | BCBS OF FLORIDA |
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