Grossman, Bruce Mark

Grossman, Bruce Mark is an individual health care provider with primary practice located at 3450 11Th Court Suite 206, Vero Beach FL 32960-5012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Grossman, Bruce Mark can be contacted via phone (772) 299-3511.

Contact Information

Primary practice address
3450 11Th Court Suite 206 Vero Beach FL 32960-5012
Phone: (772) 299-3511
Fax: (772) 299-3517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 53017 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 45365 Colorado

Profile Details

NPI number 1851359731
LBN Legal business name Grossman, Bruce Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Nov 17th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851359731 NPPES
Florida MEDICAID 049666900

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