| Doctor Name: | MADALIN GROSS |
| NPI Number: | 1114303526 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 517399 |
| Business Practice Address: | 4538 Nw 90th Ave Sunrise, FL - 333515352 |
| Business Phone Number: | 9548015005 |
| Business Fax Number: | |
| Mailing Address: | 4538 Nw 90th Ave, SUNRISE |
| State: | FL |
| Postal Code: | 333515352 |
| Phone Number: | 9548015005 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2015 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | 517399 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |