Grossman, Jeffrey M
Grossman, Jeffrey M is an sole proprietor health care provider with primary practice located at 960 37Th Pl Suite 104, Vero Beach FL 32960-6586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grossman, Jeffrey M can be contacted via phone (772) 299-4046.Contact Information
Primary practice address
960 37Th Pl Suite 104
Vero Beach FL 32960-6586
Phone: (772) 299-4046
Fax: (772) 299-0419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME64361 | Florida |
Profile Details
| NPI number | 1639159288 |
|---|---|
| LBN Legal business name | Grossman, Jeffrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Apr 18th, 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 | 1639159288 | NPPES |
| Florida | Other | 110225109 | RAILROAD MEDICARE |
| Florida | Other | 4629057 | RAILROAD MEDICARE |
| Florida | Other | 23048 | RAILROAD MEDICARE |
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