Jeffrey Mark Grossman M.D., P.A.
Internal Medicine Physician in Vero Beach, FL(View on Map)
Legal Business Name
Jeffrey Mark Grossman M.D., P.A.
NPI Number
1205128667
NPI Type
Organization
Enumeration Date
05/04/2011
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME64361
Contact
Information
Purpose
Mailing
Location
Address
920 37TH PL STE 103
920 37TH PL STE 103
City
Vero Beach
Vero Beach
State
FL
FL
Postal Code
32960-6595
32960-6595
Country
US
US
Telephone Number
(772) 299-4046
(772) 299-4046
Authorized Official
Name
Dr. Jeffrey Grossman
Title or Position
PRESIDENT
Telephone Number
(772) 299-4046
Identifiers
Identifier
23048
1639159288
Identifier State
Unknown
Unknown
Identifier Issuer
BCBS
INDIVIDUAL NPI
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/04/2011
Provider Address
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