Organization
DR. JAIME A. GROSSMAN,O.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME A GROSSMAN O.D. (PRESIDENT)
(305) 534-3937
Entity
Organization
Contact information
Practice address
542 ARTHUR GODFREY RD, MIAMI BEACH, FL 33140-3510
(305) 534-3937
(305) 534-2020
Mailing address
542 ARTHUR GODFREY RD, MIAMI BEACH, FL 33140-3510
(305) 534-3937
(305) 534-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621192500
—
FL
Enumeration date
01/12/2009
Last updated
01/12/2009
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