Individual
ALBERTO EFRAIM GROSSO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1020 HONEY BLOSSOM DR, ORLANDO, FL 32824-4866
(786) 382-9045
Mailing address
1020 HONEY BLOSSOM DR, ORLANDO, FL 32824-4866
(786) 382-9045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5485232
—
FL
Enumeration date
04/20/2015
Last updated
04/20/2015
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