Edward J. Gross MD, Pl

Organization Plastic and Reconstructive Surgery Physician · NPI 1609948330

Edward J. Gross MD, Pl is a Plastic and Reconstructive Surgery Physician in Lake Mary, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in: FL
In the registry since: 2006

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Practice location Address checks out

1035 Primera Blvd
Lake Mary, FL 32746
Phone: (407) 333-3040
Fax: (407) 333-3496

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary)	Taxonomy 2086S0122X · Licence ME0074351 (FL)

Record details

NPI number	1609948330
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Edward Gross — Physician · (407) 333-3040
NPI enumerated	November 15, 2006
Last updated in NPPES	August 22, 2020
Mailing address	1035 Primera Blvd., Lake Mary, FL 32746