Theodore Gross
Pediatrics | Male
Theodore Gross is a Eglin Afb, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Theodore Gross is
307 Boatner Rd Ste 114, Eglin Afb, Florida - 32542-1302. He can be contacted on phone at
850-883-8600.
Theodore Gross is a sole proprietor of his business.
NPI number (Unique professional ID) for Theodore Gross is
1922531508 which was assigned by NPPES on 10 Apr, 2017 and it was last updated on 20 Jul, 2021.
Theodore Gross license number is
M-15894 for Pediatrics (208000000X) in Idaho.
Theodore Gross is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Theodore Gross basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Theodore Gross |
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| Gender : | Male |
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Business Address:
Theodore Gross address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 307 Boatner Rd Ste 114
Eglin Afb, FL, 32542-1302
United States |
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| Phone Number : | 850-883-8600 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1922531508 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2017 |
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| Last Updated On : | 20 Jul, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theodore Gross are as mentioned. Primary taxonomy code for Theodore Gross is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | M-15894 | ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 307 Boatner Rd Ste 114
Eglin Afb, FL, 32542-1302
United States |
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| Phone Number : | 850-883-8600 |
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Business Location:
Patients can refer following map for directions to
Theodore Gross practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.