Jeffrey Mark Grossman M.D., P.A.
LBN: Jeffrey Mark Grossman M.D., P.A.
Jeffrey Mark Grossman M.D., P.A. is an health care organization with primary practice located at 920 37Th Pl Ste 103 , Vero Beach FL 32960-6595. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Jeffrey Mark Grossman M.D., P.A. can be contacted via phone (772) 299-4046, or through Grossman, Jeffrey Mark via phone (772) 299-4046.
Contact Information
Primary practice address
920 37Th Pl Ste 103
Vero Beach FL 32960-6595
Phone: (772) 299-4046
Fax: (772) 299-0419
Website:
Authorized official contact:
Name: Grossman, Jeffrey Mark Doctor of Medicine (MD)
Phone: (772) 299-4046
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME64361 | Florida |
Profile Details
NPI number | 1205128667 |
---|---|
LBN Legal business name | Jeffrey Mark Grossman M.D., P.A. |
DBA Doing business as | |
Authorized official | Grossman, Jeffrey Mark Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 4th, 2011 |
Last updated | May 4th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205128667 | NPPES |
Other | 23048 | BCBS | |
Other | 1639159288 | BCBS |
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