Gross, Stuart Irving

Gross, Stuart Irving is an sole proprietor health care provider with primary practice located at 16190 Ne 11Th Ct , North Miami Beach FL 33162-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gross, Stuart Irving can be contacted via phone (305) 944-3883.

Contact Information

Primary practice address
16190 Ne 11Th Ct North Miami Beach FL 33162-4504
Fax: (305) 354-2210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0015954 Florida

Profile Details

NPI number 1023004660
LBN Legal business name Gross, Stuart Irving
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Apr 18th, 2012 - 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 1023004660 NPPES
Florida MEDICAID 063373900

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