| Mr Michael David Gross, PA-C | |
|
400 Avenue K Se, Suite 11, Winter Haven, FL 33880-4146 | |
| (863) 294-4404 | |
| (863) 294-1059 |
| Full Name | Mr Michael David Gross |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 400 Avenue K Se, Winter Haven, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891760427 | NPI | - | NPPES |
| 100002229B | Medicaid | GA | |
| 2907941-00 | Medicaid | FL | |
| 970021690 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003304 (Georgia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA9101248 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael David Gross, PA-C 400 Avenue K, Se, Suite 11, Winter Haven, FL 33880-4145 Ph: (863) 294-4404 | Mr Michael David Gross, PA-C 400 Avenue K Se, Suite 11, Winter Haven, FL 33880-4146 Ph: (863) 294-4404 |
Heather Bonifay Nelson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 151 2nd St Sw, Winter Haven, FL 33880 Phone: 863-288-0960 Fax: 863-288-0963 | |
Ann Mccullough Efremoski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-291-1121 | |
Mr. Lazaro Yadier Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881 Phone: 863-297-1777 Fax: 863-297-1756 | |
Dr. Wilson Omar Rodriguez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 217 E Central Ave, Winter Haven, FL 33880 Phone: 407-315-3637 | |
Elizabeth Margaret Ennis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881 Phone: 863-299-2630 | |
Shyam Kumar Rajendra Injety, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Erin Doucey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 6th Street Se, Winter Haven, FL 33880 Phone: 863-419-9301 Fax: 863-419-9304 |