Individual
DR. SCOTT GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PA
Contact information
Practice address
18557 W DIXIE HWY, MIAMI, FL 33180-2614
(305) 466-0777
(305) 466-0773
Mailing address
18557 W DIXIE HWY, MIAMI, FL 33180-2614
(305) 466-0777
(305) 466-0773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621143700
—
FL
Enumeration date
09/07/2006
Last updated
08/03/2012
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