Individual
JEANINE M GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
521 N LECANTO HWY, LECANTO, FL 34461-9187
(352) 746-0707
(352) 746-6333
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9287233
FL
Other
Enumeration date
12/03/2013
Last updated
10/23/2014
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