Provider Demographics
NPI:1063424141
Name:GROSS, ZVI (MD)
Entity type:Individual
Prefix:
First Name:ZVI
Middle Name:
Last Name:GROSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7353 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2202
Mailing Address - Country:US
Mailing Address - Phone:954-581-7171
Mailing Address - Fax:954-641-1451
Practice Address - Street 1:201 NW 70TH AVE
Practice Address - Street 2:SUITE D
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2369
Practice Address - Country:US
Practice Address - Phone:954-581-7171
Practice Address - Fax:954-641-1451
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
174400000X
FLME63602207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No174400000XOther Service ProvidersSpecialist