Organization
BRUCE M GROSSMAN M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS T CARLISLE (OFFICE MANAGER)
(561) 691-9660
Entity
Organization
Contact information
Practice address
3370 BURNS RD, 105, PALM BEACH GARDENS, FL 33410-4327
(561) 691-9660
(561) 691-9633
Mailing address
3370 BURNS RD, 105, PALM BEACH GARDENS, FL 33410-4327
(561) 691-9660
(561) 691-9633
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0053017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049666900
—
FL
Enumeration date
03/27/2008
Last updated
06/07/2008
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