MARTIN B GROSSMAN MD PA
Medical Practice at 27 Ct, Miami, FL

License number
Florida ME0027694
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. ALICE GROSSMAN
Title: OFFICE CORDINATOR
Phone: (305) 936-2565
Address
Address
20950 NE 27Th Ct STE 302, Miami, FL 33180
National Provider ID: 1508054255
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARTIN B. GROSSMAN, M.D., PA

Miami, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Feb 12, 1962
Inactive since:
Apr 24, 1985
Addresses:
21097 NE 27 Ct SUITE 210, Miami, FL 33180 (Physical)
20950 NE 27 Ct, Miami, FL 33180
State ID:
600111
Business type:
Florida Profit Corporation
Presidents:
David B. Grossman,Grossman, David B., M.d, 21097 NE 27 Ct, Miami, FL 33180 (Physical),Martin Grossman President, inactive, 21097 NE 27 Ct SUITE 210, Miami, FL 33180 (Physical)
Agent:
Stuart Grossman
EIN:
59-0965172

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