Omar Gross

NPI 1124389911 - Counselor - 101YM0800X

NPI Details
NPI 1124389911
Gender Male
Enumeration Date 06/07/2012
Last Updated 11/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
790 E BROWARD BLVD
FT LAUDERDALE FL, 33301-2095, US
Phone (954) 781-4405
Fax (954) 785-6120
Business Location
11031 NE 6TH AVE
MIAMI FL, 33161-7182, US
Phone (305) 398-6100
Fax (305) 398-6099
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Omar Gross NPI is 1124389911, taxonomy code is 101YM0800X Omar Gross physically located at 790 E Broward Blvd, Ft Lauderdale FL, 33301-2095. NPI Number Omar Gross has the Individual type.

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1124389911 NPI number is provided on an as is basis without warranty of any kind. 1124389911 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Gross are for informational purposes only.