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Contact Information

MADALIN GROSS
3501 JOHNSON ST
HOLLYWOOD, FL33021-5421
 Phone: 954-265-1323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Basic

146N00000X
 

Emergency Medical Technician, Paramedic

146L00000X
Indicates primary specialty

NPI Profile & details for MADALIN GROSS · (Female)

NPI Number 1114303526
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2015
Last updated 03/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 517399
Hospital affiliation(s)
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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