Provider Demographics
NPI:1356366439
Name:GROSS, FRANCINE (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:
Last Name:GROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1750 17TH ST
Mailing Address - Street 2:BLDG E
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-8632
Mailing Address - Country:US
Mailing Address - Phone:941-861-1400
Mailing Address - Fax:941-373-7676
Practice Address - Street 1:2934 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2412
Practice Address - Country:US
Practice Address - Phone:941-359-3737
Practice Address - Fax:941-359-3307
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME71390208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2541688-00Medicaid
FL2541688-00Medicaid
FLG69505Medicare UPIN