Grossmann, Robert Marc

Grossmann, Robert Marc is an individual health care provider with primary practice located at 110 Yorktowne Dr , Daytona Beach FL 32119-1471. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grossmann, Robert Marc can be contacted via phone (386) 788-6696.

Contact Information

Primary practice address
110 Yorktowne Dr Daytona Beach FL 32119-1471
Phone: (386) 788-6696
Fax: (386) 788-2219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1536 Florida

Profile Details

NPI number 1306917554
LBN Legal business name Grossmann, Robert Marc
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Feb 9th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306917554 NPPES
Florida Other 19084 BCBSFL
Florida MEDICAID 621246800 BCBSFL
Florida Other 7952591 BCBSFL
Florida Other 5068158 BCBSFL
Florida Other 0101597 BCBSFL

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