Healthcare Provider Details

I. General information

NPI: 1477570125
Provider Name (Legal Business Name): MICHAEL A. GROMET, M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 MOUND ST
SARASOTA FL
34236-7787
US

IV. Provider business mailing address

1545 MOUND ST
SARASOTA FL
34236-7787
US

V. Phone/Fax

Practice location:
  • Phone: 415-990-7231
  • Fax: 707-252-8232
Mailing address:
  • Phone: 415-990-7231
  • Fax: 707-252-8232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME64624
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberME64624
License Number StateFL

VIII. Authorized Official

Name: MICHAEL A GROMET
Title or Position: PHYSICIAN-OWNER
Credential: M.D.
Phone: 415-990-7231