Individual
DR. JULIE GAIL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4902
(305) 243-4907
Mailing address
4103 RUSKIN ST, HOUSTON, TX 77005-3548
(713) 240-3609
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
ME157749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME157749
MEDICAL LICENSE
FL
Enumeration date
07/20/2011
Last updated
09/06/2022
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