Individual
DR. LEE JAY GROSSBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13933 17TH ST, SUITE 200, DADE CITY, FL 33525-4604
(352) 437-5971
Mailing address
13933 17TH ST, SUITE 200, DADE CITY, FL 33525-4604
(352) 437-5971
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME44251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00639
WELLCARE
FL
01
—
020018581
MEDICARE RAILROAD
FL
01
—
0623994
AETNA HEALTHCARE
FL
01
—
200072
AVMED
FL
01
—
203003
AMERIGROUP
FL
01
—
3705092
UNITED HEALTHCARE
FL
01
—
51224
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
08/16/2005
Last updated
07/28/2015
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