Gross, John A.

Gross, John A. is an individual health care provider with primary practice located at 116 1St Street North , St. Petersburg FL 33701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gross, John A. can be contacted via phone (727) 895-5210.

Contact Information

Primary practice address
116 1St Street North St. Petersburg FL 33701
Phone: (727) 895-5210
Fax: (727) 821-4297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME89948 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME89948 Florida

Profile Details

NPI number 1639276108
LBN Legal business name Gross, John A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Dec 22nd, 2017 - about 7 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 1639276108 NPPES
Florida MEDICAID 023072600
Florida Other P00365251

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