MR. MICHAEL DAVID GROSS PA-C NPI 1891760427

NPI Information

  • NPI: 1891760427
  • Provider Name: MR. MICHAEL DAVID GROSS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 400 AVENUE K SE
    SUITE 11
    WINTER HAVEN, FL
    ZIP 33880
  • Phone: (863) 294-4404

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NPI Details

MR. Michael David Gross, PA-C is a medical physician assistant in Winter Haven, FL. MR. Michael David Gross, PA-C NPI is 1891760427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 AVENUE K SE
SUITE 11
WINTER HAVEN, FL
ZIP 33880-146
Phone: (863) 294-4404
Fax: (863) 294-1059

The enumeration date for this NPI number is 2/17/2006 and was last updated on 3/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical003304GEORGIANo
2363AM0700XPhysician AssistantMedicalPA9101248FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12907941-00MEDICAIDFLORIDA
2970021690OTHERFLORIDARAILROAD MEDICARE
3E6240ZMEDICARE PINFLORIDA
4100002229BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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