Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME63602 | FL |
NPI | 1063424141 |
---|---|
Provider Name | Zvi Gross |
First Address | Plantation, FL 33317-2202 |
Second Address | Plantation, FL 33317-2369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 12/11/2020 |