Provider Demographics
NPI:1639809742
Name:GROSS, GARRET (PA-C)
Entity Type:Individual
Prefix:
First Name:GARRET
Middle Name:
Last Name:GROSS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2842 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-5738
Mailing Address - Country:US
Mailing Address - Phone:844-733-3774
Mailing Address - Fax:844-752-8300
Practice Address - Street 1:2842 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-5738
Practice Address - Country:US
Practice Address - Phone:184-473-3377
Practice Address - Fax:844-752-8300
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9116012363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant