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 5 years ago
Practice Location
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
Taxonomy Code 101YM0800X
License State
License Number
Remove 1124389911 NPI Number

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.