Individual
ANJU GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2010 W EAU GALLIE BLVD UNIT 106, MELBOURNE, FL 32935-4033
(321) 254-6338
(321) 254-6341
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 254-6338
(321) 254-6341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME93916
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274143100
—
FL
01
—
P00306029
RAIL ROAD MEDICARE
—
Enumeration date
07/07/2006
Last updated
10/28/2020
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