Organization
PASCO SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE J GROSSBARD M.D. (PRESIDENT)
(813) 788-5569
Entity
Organization
Contact information
Practice address
37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL 33541-4325
(813) 788-5569
(813) 782-8628
Mailing address
37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL 33541-4325
(813) 788-5569
(813) 782-8628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063068300
—
FL
Enumeration date
04/04/2006
Last updated
04/13/2010
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