Individual
DR. JEFFREY A GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, CRNA
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-0001
(305) 348-7747
Mailing address
355 NE 93RD ST, MIAMI SHORES, FL 33138-2854
(305) 348-7725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1322612
FL
Other
Enumeration date
06/26/2005
Last updated
07/08/2007
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