Grossman, Gary Stuart
Grossman, Gary Stuart is an sole proprietor health care provider with primary practice located at 110 N Kirkman Rd , Orlando FL 32811-1404. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grossman, Gary Stuart can be contacted via phone (407) 291-1000.Contact Information
Primary practice address
110 N Kirkman Rd
Orlando FL 32811-1404
Phone: (407) 291-1000
Fax: (407) 291-2538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH4743 | Florida |
Profile Details
| NPI number | 1881676542 |
|---|---|
| LBN Legal business name | Grossman, Gary Stuart |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 21st, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881676542 | NPPES |
| Florida | MEDICAID | 381365700 |
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