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NPI Code Detail

MEDICARE: MRS. JEREMI ELEANOR GROSSER MS, CCC-SLP

MEDICARE: MRS. JEREMI ELEANOR GROSSER MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist
2104100000XSocial Worker
3235Z00000XSpeech-Language PathologistSA 9972FL

General Provider Information

NPI Number : 1275666331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEREMI ELEANOR GROSSER MS, CCC-SLP
Provider Business Mailing Address
First Line : 11621 NAVARRO WAY
Second Line : #1905
City : FORT MYERS
State : FL
Zip : 33908-2786
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12220 TOWNE LAKE DR STE 1
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8021
Country : US
Telephone Number : 239-433-6700
Fax Number : 239-433-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 12/17/2025

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Directions to “ MRS. JEREMI ELEANOR GROSSER MS, CCC-SLP” Practice Location

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