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Individual

DR. PAMELA C GROVER

Active
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Individual

DR. PAMELA C GROVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME81917
FL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
271328
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
271328-1
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080171075
RAILROAD MEDICARE PROVIDER NUMBER
FL
05
261611400
FL
Enumeration date
05/23/2006
Last updated
06/15/2015
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