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Individual
JEFFREY M GROSSMAN
Active
Individual
JEFFREY M GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME64361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110225109
RAILROAD MEDICARE
FL
01
—
23048
BC/BS
FL
01
—
4629057
CIGNA
FL
Enumeration date
01/19/2006
Last updated
04/18/2011
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