Gross, William Elsworth

Gross, William Elsworth is an individual health care provider with primary practice located at 1110 Hospital Road Otolaryngology Department, Fort Walton Beach FL 32547-6796. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gross, William Elsworth can be contacted via phone (850) 863-8275.

Contact Information

Primary practice address
1110 Hospital Road Otolaryngology Department Fort Walton Beach FL 32547-6796
Phone: (850) 863-8275
Fax: (850) 314-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME123489 Florida

Profile Details

NPI number 1114916756
LBN Legal business name Gross, William Elsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 13th, 2021 - about 3 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 1114916756 NPPES
Florida MEDICAID 016139100
Florida Other AZNV4

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