Provider Demographics
NPI:1104806876
Name:GROSS, DAVID ARLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARLEN
Last Name:GROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2771 NW 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-6025
Mailing Address - Country:US
Mailing Address - Phone:561-496-1281
Mailing Address - Fax:561-498-7698
Practice Address - Street 1:4800 LINTON BLVD
Practice Address - Street 2:D503
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6584
Practice Address - Country:US
Practice Address - Phone:561-496-1281
Practice Address - Fax:561-498-7698
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME443452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD67369Medicare UPIN