Gross, Edward John

Gross, Edward John is an sole proprietor health care provider with primary practice located at 1035 Primera Blvd. , Lake Mary FL 32746-2193. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gross, Edward John can be contacted via phone (407) 333-3040.

Contact Information

Primary practice address
1035 Primera Blvd. Lake Mary FL 32746-2193
Phone: (407) 333-3040
Fax: (407) 333-3496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0074351 Florida

Profile Details

NPI number 1912929043
LBN Legal business name Gross, Edward John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jun 23rd, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912929043 NPPES
Florida Other 2371491 AETNA
Florida Other 593613914 AETNA
Florida Other 593613914 AETNA
Florida Other 4856086004 AETNA
Florida Other 1000573 AETNA
Florida Other 46407 AETNA

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