Individual
BRUCE MARK GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 11TH COURT, SUITE 206, VERO BEACH, FL 32960-5012
(772) 299-3511
(772) 299-3517
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 299-3511
(772) 299-3517
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
45365
CO
207RG0100X
Gastroenterology Physician
Primary
53017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049666900
—
FL
Enumeration date
05/02/2006
Last updated
11/17/2016
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