Grossglass, Randall Walter
Grossglass, Randall Walter is an individual health care provider with primary practice located at 134 E Bloomingdale Ave , Brandon FL 33511-8101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Grossglass, Randall Walter can be contacted via phone (813) 681-1627.Contact Information
Primary practice address
134 E Bloomingdale Ave
Brandon FL 33511-8101
Phone: (813) 681-1627
Fax: (813) 684-1356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT18479 | Florida |
Profile Details
| NPI number | 1033217054 |
|---|---|
| LBN Legal business name | Grossglass, Randall Walter |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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