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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1851359731 | NPPES |
| Florida | MEDICAID | 049666900 |
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