| Debra B Gross Lcsw P A | |
|
8333 W Mcnab Rd Suite 131 Tamarac FL 33321-3242 | |
| (954) 258-5216 | |
| (954) 345-4047 |
| Full Name | Debra B Gross Lcsw P A |
|---|---|
| Speciality | Social Worker |
| Location | 8333 W Mcnab Rd, Tamarac, Florida |
| Authorized Official Name and Position | Debra B Gross (PRESIDENT) |
| Authorized Official Contact | 9542585216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra B Gross Lcsw P A 12354 Nw 26th Ct Coral Springs FL 33065-8005 Ph: (954) 258-5216 | Debra B Gross Lcsw P A 8333 W Mcnab Rd Suite 131 Tamarac FL 33321-3242 Ph: (954) 258-5216 |
| NPI Number | 1477884716 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 01/27/2010 |
| Medicare PECOS PAC ID | 1052440146 |
|---|---|
| Medicare Enrollment ID | O20100528000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477884716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra B Gross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942217658 PECOS PAC ID: 4284602392 Enrollment ID: I20040916001330 |
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