Individual
DR. LISA MARIA PEREZ-GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. P.A.
Contact information
Practice address
1235 SW 87TH AVE, MIAMI, FL 33174-3306
(305) 269-1990
(305) 269-1970
Mailing address
1235 SW 87TH AVE, MIAMI, FL 33174-3306
(305) 269-1990
(305) 269-1970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME71327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254822400
—
FL
Enumeration date
10/07/2005
Last updated
10/26/2016
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