Individual
JAMES GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(954) 263-1534
Mailing address
1080 NW 11TH ST APT 505, MIAMI, FL 33136-2228
(954) 263-1534
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME158463
FL
208D00000X
General Practice Physician
Primary
MD487062
PA
Other
Enumeration date
04/09/2021
Last updated
10/01/2024
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