Organization
MELVIN M. GROSSMAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN M GROSSMAN MD (PHYSICIAN)
(954) 962-6333
Entity
Organization
Contact information
Practice address
4700 SHERIDAN ST, SUITE U, HOLLYWOOD, FL 33021-3420
(954) 962-6333
(954) 963-2442
Mailing address
4700 SHERIDAN ST, SUITE U, HOLLYWOOD, FL 33021-3420
(954) 962-6333
(954) 963-2442
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
FLME0041670
FL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
FLME0041670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066156200
—
FL
01
—
130019943
RAILROAD MEDICARE
FL
01
—
204628
AVMED
FL
01
—
94283
BCBS
FL
Enumeration date
02/26/2015
Last updated
02/26/2015
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