Grossman, Robert Athey
Grossman, Robert Athey is an individual health care provider with primary practice located at 311 9Th St N Ste 308 , Naples FL 34102-5889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grossman, Robert Athey can be contacted via phone (239) 624-4650.Contact Information
Primary practice address
311 9Th St N Ste 308
Naples FL 34102-5889
Phone: (239) 624-4650
Fax: (239) 624-4651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD043980 | District of Columbia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME127255 | Florida |
Profile Details
| NPI number | 1639584303 |
|---|---|
| LBN Legal business name | Grossman, Robert Athey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2014 |
| Last updated | Dec 28th, 2021 - about 5 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 | 1639584303 | NPPES |
| Florida | MEDICAID | 021989100 | |
| Florida | Other | OICY2 |
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