EDWARD A. GROSS, MD, PA
Ambulatory Health at Arthur Godfrey Rd, Miami, FL

License number
Florida ME0074984
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: EDWARD GROSS
Title: PRESIDENT
Phone: (305) 672-5811
Address
Address
333 Arthur Godfrey Rd SUITE 302, Miami, FL 33140
National Provider ID: 1114353083
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD A. GROSS, M.D., PA

Miami, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
Mar 30, 1998
Inactive since:
Oct 1, 2010
Phone:
(305) 672-5811 (Phone)
Addresses:
333 W 41 St SUITE 302, Miami Beach, FL 33140 (Physical)
1195 S Alhambra Cir, Miami, FL 33146
State ID:
P98000030377
Business type:
Florida Profit Corporation
President, Director:
Edward A Gross (President, Director), 333 W 41 St SUITE 302, Miami Beach, FL 33140 (Physical)
Agent:
Charles Berg,555 NE 15 St, Miami, FL 33132 (Physical)
EIN:
65-0830368

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