Doctor Name: | DR. DAVID H GROSS |
NPI Number: | 1104008770 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | PO 0000560 |
Business Practice Address: | 888 Water Hyacinth Ct. N.e. St. Petersburg, FL - 337033173 |
Business Phone Number: | 7275262700 |
Business Fax Number: | |
Mailing Address: | 888 Water Hyacinth Ct. N.e., ST. PETERSBURG |
State: | FL |
Postal Code: | 337033173 |
Phone Number: | 7275262700 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 04/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO 0000560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |