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NPI Code Detail

MEDICARE: ROBERT L GROSS

MEDICARE: ROBERT L GROSS
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
1183500000XPharmacistPS00020299FL

General Provider Information

NPI Number : 1902180755
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L GROSS
Provider Business Mailing Address
First Line : 5755 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32966-4636
Country : US
Telephone Number : 772-770-5492
Fax Number : 772-778-9916
Provider Business Practice Location Address
First Line : 5755 20TH ST
Second Line :
City : VERO BEACH
State : FL
Zip : 32966-4636
Country : US
Telephone Number : 772-770-5492
Fax Number : 772-778-9916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2011
Last Update Date : 09/28/2011

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Directions to “ ROBERT L GROSS ” Practice Location

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