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Individual

HOWARD ALAN GROSSBARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M D

Contact information

Practice address
1041 RIDGEWOOD AVE, VENICE, FL 34285-6978
(941) 484-6353
(941) 484-6608
Mailing address
825 VENETIAN PKWY, SUITE B, VENICE, FL 34285-7163
(941) 484-3089
(941) 484-3263

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31798
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372381000
FL
Enumeration date
08/30/2006
Last updated
01/29/2015
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