MEDICARE: ZVI GROSS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist
2	207QA0505X	Adult Medicine Physician	ME63602	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063424141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZVI GROSS MD

Provider Business Mailing Address
First Line	:	7353 NW 4TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2202
Country	:	US
Telephone Number	:	954-581-7171
Fax Number	:	954-641-1451

Provider Business Practice Location Address
First Line	:	201 NW 70TH AVE
Second Line	:	SUITE D
City	:	PLANTATION
State	:	FL
Zip	:	33317-2369
Country	:	US
Telephone Number	:	954-581-7171
Fax Number	:	954-641-1451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	11/12/2020

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Directions to “ ZVI GROSS MD” Practice Location

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