Individual
PAUL J GRUOSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
Mailing address
14422 PEPPERPINE DR, TAMPA, FL 33626-3070
(813) 818-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3476
FL
Other
Enumeration date
10/10/2006
Last updated
07/09/2007
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