William Gross, Dpm, Pa

NPI 1588757520 - Podiatrist - 213E00000X

NPI Details
NPI 1588757520
Enumeration Date 10/02/2006
Last Updated 08/28/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM WILLIAM
Position OWNER
Phone (727) 345-0607
Fax (727) 345-4309
Practice Location
6499 38TH AVE N
SUITE C-2
ST PETERSBURG FL, 33710-1656, US
Phone (727) 345-0607
Fax (727) 345-4309
Business Location
907 MARITIME CT
BRADENTON FL, 34212-5285, US
Phone (941) 746-2510
Fax (941) 746-2510
Toxanomy
Taxonomy Code 213E00000X
License State Florida
License Number PO6000090640
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According to our database, William Gross, Dpm, Pa NPI is 1588757520, taxonomy code is 213E00000X and license number is PO6000090640, license state is located at Florida. William Gross, Dpm, Pa physically located at 6499 38th Ave N, St Petersburg FL, 33710-1656. NPI Number 1033115704 has the healthcare provider type.

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1588757520 NPI number is provided on an as is basis without warranty of any kind. 1588757520 is maintained by the National Plan & Provider Enumeration System. The contents of William Gross, Dpm, Pa are for informational purposes only.