OrganizationActive
Edward J. Gross, M.D., P.l.
NPI 1801219944 · Dermatology Physician · Lake Mary, FL
Provider details
- NPI number
- 1801219944
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Gross, Owner(407) 333-3040
- License
- ME74351 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1035 Primera Blvd
Lake Mary, FL 32746-2193
Phone: (407) 333-3040
Fax: (407) 333-3496
Street-level locationGet directions
Mailing address
1035 Primera Blvd
Lake Mary, FL 32746-2193
Registry dates
- Enumerated
- 2014-01-25
- Last updated
- 2014-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.