IndividualActive
Wanda Gross
NPI 1427514835 · Personal Care Attendant · Malabar, FL
Provider details
- NPI number
- 1427514835
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
740 Lortie Ave
Malabar, FL 32950-4919
Phone: (321) 674-3947
Approximate (ZIP-level) locationGet directions
Mailing address
740 Lortie Ave
Malabar, FL 32950-4919
Registry dates
- Enumerated
- 2019-02-11
- Last updated
- 2019-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.