Individual
ROBERT ATHEY GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 9TH ST N STE 308, NAPLES, FL 34102-5889
(239) 624-4650
(239) 624-4651
Mailing address
311 9TH ST N STE 308, NAPLES, FL 34102-5889
(239) 624-4650
(239) 624-4651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD043980
DC
208600000X
Surgery Physician
Primary
ME127255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021989100
—
FL
01
—
OICY2
BCBS
FL
Enumeration date
06/21/2014
Last updated
12/28/2021
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