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Individual

ROBERT MARC GROSSMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
110 YORKTOWNE DR, DAYTONA BEACH, FL 32119-1471
(386) 788-6696
(386) 788-2219
Mailing address
1070 GREENWOOD BLVD, LAKE MARY, FL 32746-5404
(407) 333-5111
(407) 333-2434

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1536
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101597
GHI
FL
01
19084
BCBSFL
FL
01
5068158
AETNA
FL
05
621246800
FL
01
7952591
CIGNA
FL
Enumeration date
11/10/2006
Last updated
02/09/2015
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